Job Description
About the position
The Precertification and Authorization Representative 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 unit’s performance
expectations.
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
[https://jobs.mayoclinic.org/benefits/] – 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
- Resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements
- Processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts
- Working assigned registration denials for government and non-government accounts
- Adherence to quality assurance guidelines
- Adherence to established productivity standards
- Benefits
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
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