Grand Itasca
Dedicated Authorization Specialist
Grand Itasca - Grand Rapids, Minnesota, us, 55745
Work at Grand Itasca
Overview
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Overview
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: 3/12/2025
*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. *The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.
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: 3/12/2025
*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. *The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced by various factors, including FTE, skills, knowledge, educational background, and qualifying experience as specified in the contract. EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.