Building Location: St Josephs Medical Center
Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS
Job Description:
Gather necessary insurance information, use expertise to translate the information provided by the patient/guarantor into the computer system with the result of an accurate claim submission. May be responsible for some or all of the following: insurance verification, ICD 10 or HCPC code selection, prior authorization, pre-certification, medical necessity determination, referrals, workers compensation authorization, service estimates, patient communication when services are not covered, pre-service collections. Work Experience: Pre-Service Authorizations Coordinator (47190): 1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed below. Pre-Service DME Coordinator (47860): 1-year DME experience or meet educational requirements listed below. Pre-Service Financial Coordinator (46180): 1-year collections experience, experience with pre-service or financial counseling or meets educational requirements listed below. Population Health Authorization Coordinator (46090): 1-year experience in a healthcare or health plan setting, ability to work in high volume/fast-paced environment, referral and authorization knowledge or meets educational requirements listed below.
Education Qualifications:
Pre-Service Authorizations Coordinator only (47190): Graduate of LPN, Medical Secretary, Health Unit Coordinator, Medical Assistant, Paramedic, EMT, Pharmacy Tech, General Associate Degree program or similar.
Licensure/Certification Qualifications:
- FTE:1Possible Remote/Hybrid Option:
- RemoteShift Rotation:
- Day Rotation (United States of America)
- Shift Start Time:
- Shift End Time:
Weekends
Holidays: NoCall Obligation:
NoUnion: Union Posting Deadline:
Compensation Range:
$17.63 - $26.45 Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.
