Fairview Health Services
Dedicated Authorization Specialist
This job is now closed
Job Description
- Req#: 144775
- Initiating prior authorizations, as the need arises by payers for any outpatient tests and treatment as well as inpatient admissions.
- Obtaining pre-certification for all inpatient and outpatient surgeries.
- Obtaining pertinent information and prior authorizations for workers compensation cases.
- Completing all requirements for the provision of initial care and any required insurance referrals for specialty care.
- Maintaining current knowledge of insurance requirements and accurately performs duties in a timely manner in capturing and entering medical insurance information.
- Protecting and maintaining confidentiality and privacy of all prior authorization, medical necessity, and member information.
- Providing clinical information to insurance companies for prior authorization according to our policies and procedures.
- High school diploma or equivalent.
- 1 year experience in a related Healthcare field, such as Patient Access and/or Billing.
- Computer, phone etiquette, and customer service experience.
- Healthcare related associate degree.
- 2 to 3 years of experience in a related Healthcare field, such as Patient Access and/or Billing.
- Knowledge of health insurance billing preferred.
- Initiating prior authorizations, as the need arises by payers for any outpatient tests and treatment as well as inpatient admissions.
- Obtaining pre-certification for all inpatient and outpatient surgeries.
- Obtaining pertinent information and prior authorizations for workers compensation cases.
- Completing all requirements for the provision of initial care and any required insurance referrals for specialty care.
- Maintaining current knowledge of insurance requirements and accurately performs duties in a timely manner in capturing and entering medical insurance information.
- Protecting and maintaining confidentiality and privacy of all prior authorization, medical necessity, and member information.
- Providing clinical information to insurance companies for prior authorization according to our policies and procedures.
- High school diploma or equivalent.
- 1 year experience in a related Healthcare field, such as Patient Access and/or Billing.
- Computer, phone etiquette, and customer service experience.
- Healthcare related associate degree.
- 2 to 3 years of experience in a related Healthcare field, such as Patient Access and/or Billing.
- Knowledge of health insurance billing preferred.
Job OverviewFairview Range is hiring a Dedicated Authorization Specialist for our Billing Department in Hibbing, MN.
As a Dedicated Authorization Specialist, you will complete all insurance requirements in regard to prior authorization and medical necessity in a timely matter. Following all policies and procedures to ensure we are meeting our customer needs timely and efficiently.
Schedule: This position will work 80 hours per two weeks. The shift length will be 8-hours on the day shift. Weekends: None
Internal posting through: 3/7/25
About Fairview Range
Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Medical Center, Fairview Mesaba Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), Fairview Range Home Care and Hospice, and Fairview Transportation Services. Are you interested in joining our incredible team? Seize the opportunity by applying today!
Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other.
As a Dedicated Authorization Specialist, you will be responsible for:
Required Qualifications
Preferred Qualifications
Keywords: Healthcare, Patient Access, Billing, Customer Service
Benefit OverviewFairview Range offers a generous benefits package, including but not limited to medical, dental, vision, PTO and Sick and Safe Time, tuition reimbursement, retirement and more! Please follow this link for additional information: Please follow this link for additional information: https://www.fairview.org/benefits/rangenoncontract
Compensation DisclaimerAn individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status$18.31-$26.37 / Hourly
Fairview Range is hiring a Dedicated Authorization Specialist for our Billing Department in Hibbing, MN.
As a Dedicated Authorization Specialist, you will complete all insurance requirements in regard to prior authorization and medical necessity in a timely matter. Following all policies and procedures to ensure we are meeting our customer needs timely and efficiently.
Schedule: This position will work 80 hours per two weeks. The shift length will be 8-hours on the day shift. Weekends: None
Internal posting through: 3/7/25
About Fairview Range
Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Medical Center, Fairview Mesaba Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), Fairview Range Home Care and Hospice, and Fairview Transportation Services. Are you interested in joining our incredible team? Seize the opportunity by applying today!
Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other.
As a Dedicated Authorization Specialist, you will be responsible for:
Required Qualifications
Preferred Qualifications
Keywords: Healthcare, Patient Access, Billing, Customer Service
About the company
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