Mayo Foundation for Medical Education and Research
Precertification and Authorization Rep-Supplemental/PRN-Remote
Mayo Foundation for Medical Education and Research, Rochester, Minnesota, us, 55905
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.
Responsibilities 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.
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:
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
Position requires general knowledge of healthcare terminology and CPT-ICD10 codes
Basic knowledge of and experience in insurance verification and claim adjudication is preferred
Requires 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 Denial codes is preferred
Knowledge of and experience using an Epic RC/EMR system is preferred
Healthcare Financial Management Association (HFMA) Certification Preferred
This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status Nonexempt
Compensation Detail $21.48 -$33.60 / hour
Benefits Eligible No
Schedule Part Time
Hours/Pay Period Supplemental/PRN
Schedule Details The potential scheduled hours are 7a-7pm CST, Monday to Friday. You should be able to work any 8-hour shift within this time frame and 1-5 days per week.
Weekend Schedule N/A
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.
Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter Ronnie Bartz
#J-18808-Ljbffr
Responsibilities 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.
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:
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
Position requires general knowledge of healthcare terminology and CPT-ICD10 codes
Basic knowledge of and experience in insurance verification and claim adjudication is preferred
Requires 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 Denial codes is preferred
Knowledge of and experience using an Epic RC/EMR system is preferred
Healthcare Financial Management Association (HFMA) Certification Preferred
This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Exemption Status Nonexempt
Compensation Detail $21.48 -$33.60 / hour
Benefits Eligible No
Schedule Part Time
Hours/Pay Period Supplemental/PRN
Schedule Details The potential scheduled hours are 7a-7pm CST, Monday to Friday. You should be able to work any 8-hour shift within this time frame and 1-5 days per week.
Weekend Schedule N/A
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.
Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter Ronnie Bartz
#J-18808-Ljbffr