Precertification and Authorization Rep-Remote
About the position
The Precertification and Authorization Representative is an intermediate level
position that is responsible for resolving referral, precertification, and/or
prior authorization to support insurance specific plan requirements for all
commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position
may be responsible for pre-appointment insurance review (PAIR) and denials
recovery functions within the Patient Access department. This may include
processing of pre-certification and prior authorization for workers
compensation/third party liability (WC/TPL), managed care and HMO accounts, as
well as working assigned registration denials for government and non-government
accounts. This role requires adherence to quality assurance guidelines as well
as established productivity standards to support the work unit’s performance
expectations.
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider
according to U.S. News & World Report. As we work together to put the needs of
the patient first, we are also dedicated to our employees, investing in
competitive compensation and comprehensive benefit plans
[https://jobs.mayoclinic.org/benefits/] – to take care of you and your family,
now and in the future. And with continuing education and advancement
opportunities at every turn, you can build a long, successful career with Mayo
Clinic.
Responsibilities
• Resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements
• Processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts
• Working assigned registration denials for government and non-government accounts
• Adherence to quality assurance guidelines
• Adherence to established productivity standards
Benefits
• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
Apply tot his job
Apply To this Job
The Precertification and Authorization Representative is an intermediate level
position that is responsible for resolving referral, precertification, and/or
prior authorization to support insurance specific plan requirements for all
commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position
may be responsible for pre-appointment insurance review (PAIR) and denials
recovery functions within the Patient Access department. This may include
processing of pre-certification and prior authorization for workers
compensation/third party liability (WC/TPL), managed care and HMO accounts, as
well as working assigned registration denials for government and non-government
accounts. This role requires adherence to quality assurance guidelines as well
as established productivity standards to support the work unit’s performance
expectations.
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider
according to U.S. News & World Report. As we work together to put the needs of
the patient first, we are also dedicated to our employees, investing in
competitive compensation and comprehensive benefit plans
[https://jobs.mayoclinic.org/benefits/] – to take care of you and your family,
now and in the future. And with continuing education and advancement
opportunities at every turn, you can build a long, successful career with Mayo
Clinic.
Responsibilities
• Resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements
• Processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts
• Working assigned registration denials for government and non-government accounts
• Adherence to quality assurance guidelines
• Adherence to established productivity standards
Benefits
• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
Apply tot his job
Apply To this Job