Fairview Health Services
Authorization Specialist I (Remote)>
PayCompetitive
LocationSaint Paul/Minnesota
Employment typeFull-Time
This job is now closed
Job Description
- Req#: 136086
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Engaging and impactful role that directly supports patients and families
- Collaborative work environment with cross-departmental interaction
- Involvement in financial assistance programs for patients with inadequate coverage
- Chance to work with various insurance payors and enhance financial processes
What to Expect (Job Responsibilities):
- Perform the financial clearance process by interviewing patients and collecting necessary information for pre-registration
- Verify insurance eligibility and educate patients on coverage issues
- Initiate treatment authorization requests and manage referrals per payor guidelines
- Follow up on prior authorization denials and process appeals when necessary
- Educate patients on co-payments, co-insurance, and deductibles at the point of service
What is Required (Qualifications):
- Four or more years of experience in revenue cycle, insurance verification/eligibility, or related areas in a healthcare setting
- Experience with practice management software, hospital billing software, or electronic health record software
- Knowledge of insurance terminology, plan types, and approval processes
- Proficiency in computer systems, including Microsoft Office 365
How to Stand Out (Preferred Qualifications):
- Experience with referrals and/or prior authorization processes
- Familiarity with Epic software
- Knowledge of medical terminology and clinical documentation review
#HealthcareServices #PatientAccess #FinancialClearance #CareerOpportunity #InsuranceVerification
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