Mille Lacs Health System
Location
South Harbor Township, Minnesota
Salary
$21 - $31 / HOUR
The specialist manages the prior authorization process to ensure payers reimburse the health system for scheduled services. This includes submitting documentation, managing insurance appeals, and coordinating with providers to secure approvals.
Candidates must be a certified Medical Assistant or a Licensed Practical Nurse in Minnesota with 1-2 years of prior authorization experience. Proficiency in medical terminology, insurance processes, and HIPAA compliance is required.
Required Education and Experience Medical Assistant (MA) certification or Licensed Practical Nurse (LPN) licensure in the State of Minnesota Minimum 1-2 years of prior authorization experience in a healthcare setting Experience with medical terminology and insurance processes Strong verbal and written communication skills Proficient computer and business skills Ability to manage multiple priorities and work independently or in a team Knowledge of insurance eligibility and HIPAA compliance Preferred Education and Experience 5 years of prior authorization experience 5 years of experience in a healthcare setting Additional Eligibility Qualifications Detail-oriented and self-directed Ethical conduct and professionalism Initiative and flexibility Time management and stress management Teamwork orientation and technical capacity Quality and safety focused
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