Remote Jobs

Precertification and Authorization Rep-Remote-.75 FTE


Pay$20.45 - $31.98 / hour
LocationRochester/Minnesota
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 309174
      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 - 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. You'll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.

      Responsibilities

      Currently recruiting for the following 2 openings:
      1) 30 hours a week: Monday-Friday, schedule can range from 10:30a-5pm central standard time.

      2) 40 hours a week: Monday-Friday, schedule can range from 9a-6pm central standard time. - POSITION FILLED

      Organizational Relationships:

      This role reports up through the Revenue Cycle Patient Access team. The Precertification and Authorization Call Center Representative I reports to the Patient Access Supervisor. The position requires interaction and collaboration with insurance company representatives, patients, and physicians, as well as other departments that call into the Prior Auth department.

      Position Overview (Major Functions and Non-Essential Functions):

      The Precertification and Authorization Call Center Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization concerns, to support calls coming into the Prior authorization department. This role is to answer questions when call is received and route to the correct area if further assistance is needed. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations.

      Qualifications

      High School Diploma or GED and 2+ years of relevant experience required

      OR

      Bachelor's Degree required

      Additional Requirements include the ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills.

      Additional Preferred Experience and/or Qualifications (Has Achieved Competency in the Following Areas, Job Knowledge, and Additional Considerations):

      Position prefers general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of and experience using an Epic RC/EMR system is preferred.

      Exemption Status

      Nonexempt

      Compensation Detail

      $20.45 - $31.98/ hour

      Benefits Eligible

      Yes

      Schedule

      Full Time

      Hours/Pay Period

      80

      Schedule Details

      100% Remote, can be seated at any site. Hiring for 2 shifts 1) 30 hours a week: Monday-Friday, schedule can range from 10:30a-5pm central standard time. 2) FILLED - 40 hours a week: Monday-Friday, schedule can range from 9a-6pm central standard time.

      Weekend Schedule

      No

      International Assignment

      No

      Site Description

      Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

      Affirmative Action and Equal Opportunity Employer

      As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

      Recruiter

      Ronnie Bartz

      Department Title

      Mayo Clinic Finance
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