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Precertification and Authorization Rep I - Remote

Company: Mayo Clinic Hospital-Saint Mary's (Rochester, Minn
Location: Jacksonville
Posted on: November 22, 2021

Job Description:

Job Title

Precertification and Authorization Rep I - Remote

Recruiter

Veronica Bartz

State

Florida

Responsibilities

The Precertification and Authorization Representative I is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work units performance expectations.

Exemption Status

Non-exempt

Job Posting Number

166226BR

Hours/Pay Period

80

Schedule Details

100 % Remote, can work from any site.

M-F 8AM EST - 5PM EST

Compensation Detail

Required education, experience and tenure may be considered along with internal equity when job offers are extended. The hourly pay range is $19.46-$26.29 per hour.

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.

Job Posting Category

Administration, Business, Finance, Office & Administrative Support

Qualifications

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

OR

Bachelors 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

Additional Qualifications

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.

License or Certification

N/A

Benefit Eligible

Yes

Weekend Schedule

N/A

Site Description

Jacksonville is the largest city in area in the continental United States. A beautiful coastal Florida city that features excellent year-round climate, over 20 miles of beaches and outstanding outdoor recreational, cultural and family-oriented amenities. The River City by the Sea has an excellent school system, reasonable cost of living and a thriving business environment. Medical professionals and patients are drawn to Jacksonville by an extraordinary network of high-profile healthcare facilities. Jacksonville continues to grow as more people relocate from all over the U.S. and abroad, to see what the great River City has to offer!

Why Mayo Clinic?

Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2020-2021) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, youll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where youll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!

Mayo Clinic offers a variety of employee benefits. For additional information please visit . Eligibility may vary.

City

Jacksonville

Remote Worker

Yes

Career Profile Page

Finance

Schedule

Full Time

Department

Finance

International Assignment

No

Country

United States

Keywords: Mayo Clinic Hospital-Saint Mary's (Rochester, Minn, Jacksonville , Precertification and Authorization Rep I - Remote, Other , Jacksonville, Florida

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