Prior Authorization/Pre-Certification Coordinator

MN Urology is currently seeking a full time Prior Authorization Coordinator

Position is located in our Bloomington Headquarters

Monday-Friday

Regular Daytime Hours, No Evenings, No Weekends, No Holidays!

The Prior Authorization/Pre-Certification Coordinator is responsible for performing prior authorizations, pre-certifications for surgeries, pre-collecting funds as appropriate, and other office procedures as necessary.

JOB DESCRIPTION:

• Responsible for performing prior authorizations and pre-certifications for surgeries, other office procedures as necessary, and pre-collecting funds as appropriate.
• Assist patients in obtaining prior authorizations and pre-certifications.
• Serves as a resource for staff and physicians regarding prior authorization and pre-certification policies and procedures.
• Attends various meetings and enhances professional development and growth on a regular basis; makes recommendations for revision and/or new departmental procedures under the direction of the supervisor.
• Incorporates the use of technology. Completes pre-certification and prior authorizations online as required.
• Remains up to date on the areas of coding and new codes.
• Maintains insurance knowledge.
• Communicate effectively and compassionately with patients. Communicate effectively with staff, management, and physicians.

ESSENTIAL JOB FUNCTIONS:

• Incorporates the use of technology into day-to-day tasks by using Outlook, Microsoft Office Suite, Athena effectively and accurately.
• Knowledge and experience using and navigating various payer websites.
• Responsible for efficient and accurate prior authorizations and pre-certifications of patients. Maintain patient confidentiality.
• Remains up to date on all insurance and coding knowledge
• Represent Minnesota Urology PA. in a professional manner related to appearance, communication, and the maintenance of patient confidentiality.
• Ability to communicate effectively and compassionately with the patients, staff, management, and physicians.
• Attendance and punctuality.

EDUCATION/TRAINING/LICENSURE:

• High school diploma or equivalent.
• Coding coursework and knowledge required
• Good computer skills required.
• Minimum of one-year customer service or reception experience, preferably in a medical office environment.
• Knowledge of Athena Medical Practice Management System preferred, but not required. Knowledge of Microsoft Office Suite helpful, but not required.
• Two years of experience working with various insurances. Required
• Prior experience in Prior Authorization/Pre-certification preferred.

Minnesota Urology does not discriminate against applicants on the basis of their race, color, national origin, religion, creed, disability, age, sex, sexual orientation, gender identity, marital status, familial status, or status with regard to public assistance, or membership or activity in a local human rights commission.