What You Can Expect:
Our Dedication Authorization Specialists love Grand Itasca for the stability, meaningful work and our great team. Grand Itasca is in the business of selecting employees that make the real difference, who go above and beyond to make our hospital/clinic run and work effectively. Are you someone looking to make a difference in the everyday functions of our hospital & clinic life? If so, Grand Itasca is where you belong!
We're glad you are thinking about joining us.
Grand Itasca is a great place for Dedication Authorization Specialists. We're a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.
Let's talk about benefits.
- Competitive pay
- Work from home flexibility
- Tuition reimbursement and scholarship/grant opportunities
- Health, dental, vision, & life insurance kick in on the first of the month after 30 days of employment
- Generous paid time off package to maintain a healthy home-work balance
- STDB (short term disability bank)
- 401K with employer contributions
- Experience Pay Given
- Employee Referral Program
- On-the-Job training
- No Weekends!
About the Position
- Dedicated Authorization Specialist
- Full-Time 1.0 FTE (80 hours per pay period)
- Days
- Hybrid/Remote
- INTERNAL POSTING THROUGH: 12/19/2024
- Your home office must meet Safety, Privacy, and Internet Speed requirements set forth by Grand Itasca Clinic & Hospital to be eligible for this position.
Job Summary:
The Dedication Authorization Specialist is responsible for managing the prior authorization process according to Grand Itasca Clinic & Hospital policies and procedures. They serve as an integral part of the patient care team while acting as a liaison between patients, care givers and support staff to deliver outstanding service and optimize patient flow. This position requires utilizing reasoning skills to identify needed information to obtain prior authorizations, referrals and admission/discharge notifications.
Here's what you'll do when you join us:
- Initiate and process prior authorizations as required by payers while maintaining confidentiality and privacy
- Initiate and obtain authorization and medical necessity for rehab services, homecare services, and pharmacy requests
- Obtain pre-certifications for all inpatient and outpatient surgeries for physicians
- Obtain information and prior authorizations for workers compensation cases
- Complete requirements for the provision of initial care and required insurance referrals for specialty care
- Stay up-to-date on insurance requirements and be able to perform duties in an accurate and timely manner
- Have a knowledge of release of information protocols
- Keep work up to date on assigned work ques and provide clinical information to insurance companies for prior authorizations
- Communicate effectively and respectfully towards patients and fellow Grand Itasca staff members
- Utilize great computer skills to complete assigned work
If you have these qualifications, we'd love to chat:
- 2-3 years' experience in financial counseling or patient registration, or have a Healthcare related associates degree required
- Knowledge of insurance billing, collections and plan types
- Customer service experience in a healthcare organization
- Additional courses/experience in insurance billing, accounting and/or business administration preferred
- Maintain reliable and consistent attendance
- Ability to follow and adhere to Grand Itasca's policies, vision, mission and values
About Grand Itasca:
Grand Itasca brings the benefits of a large and respected health system to our local community. We are a non-profit, state-of-the-art, integrated clinic and hospital that is proud to offer a range of high-quality providers, specialties and services to our community. Enjoy our patient-centered, comprehensive approach, close to home without venturing from the beauty of northern Minnesota.
EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.