Healthcare Authorization Specialist - Payer & Care

Talentify; Saint Paul (MN); On-site; USD 52,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Retirement program

Tuition reimbursement

Employee assistance program

Onsite clinic

Job summary

Park Nicollet HealthPartners is seeking an Authorization Specialist to coordinate hospital encounters for surgical services and manage insurance verification and prior authorizations. You will collaborate with the care team to submit required documentation for payer review and stay current with payer guidelines.

The role emphasizes accuracy, training, and maintaining documentation to support cash flow and patient satisfaction.

Qualifications

• High school diploma or equivalent required.
• Strong customer service and communication skills.
• Familiarity with EPIC or other EHR systems.

Responsibilities

• Create hospital encounters for surgical services at ambulatory centers and hospital.
• Verify insurance and obtain prior authorizations for procedures.
• Submit clinical documentation for payer review.
• Maintain payer authorization documentation and stay updated on guidelines.
• Complete mandatory training and participate in continuing education.

Skills

Customer service

Written/verbal communication

Critical thinking

Time management

Team collaboration

Microsoft Office

Education

High school diploma or equivalent

Tools

EPIC registration

Electronic health record (EHR)

Job description

Park Nicollet HealthPartners is seeking an Authorization Specialist to coordinate hospital encounters for surgical services and manage insurance verification and prior authorizations. You will collaborate with the care team to submit required documentation for payer review and stay current with payer guidelines.

The role emphasizes accuracy, training, and maintaining documentation to support cash flow and patient satisfaction.