Prior Authorization Assistant

CentraCare Health; Saint Cloud (MN); Hybrid; USD 29,000 - 44,000; Full time

Benefits offered by this job

Tuition reimbursement

Full-time benefits

Job summary

CentraCare Health is seeking a Prior Authorization Assistant at the Saint Cloud location. The role supports processing prior authorizations, referrals, and pre-certifications to meet payer requirements, with a majority remote schedule and periodic onsite orientation.

Key duties include coordinating with physicians and care teams to ensure timely authorizations, maintaining accuracy, and upholding patient safety standards in line with CentraCare’s Family Centered Care philosophy.

Qualifications

• Associate's degree, preferably HIT or another health-care related program.
• 1 year of relevant healthcare experience in lieu of education.
• Minimum 1 year experience in prior authorization preferred.
• Knowledge of health care and medical practices preferred.

Responsibilities

• Process health plan/payer utilization review requirements, including pre-certifications and prior authorizations, in a timely and accurate manner.
• Collaborate with internal physicians and staff and external providers to facilitate quality patient care and exceptional customer service.
• Support patient safety initiatives and Family Centered Care principles in interactions with patients, families and coworkers.

Skills

Healthcare experience

Prior authorization

Education

Associate's degree in HIT or related program

Job description

South Point Location Saint Cloud, MN, 56301 72 hours every two weeks 232351 Wage: $21.12-$31.68

Find your purpose as a Prior Authorization Assistant with CentraCare. The Prior Authorization team processes all health plan/payer utilization review requirements, which include managed care referrals, pre-certifications, and prior authorizations in a timely and accurate manner. They work closely with internal physicians and staff as well as health care providers outside the clinic to facilitate quality patient care and demonstrate excellent customer service. Supporting and implementing patient safety and other safety practices as appropriate. A Prior Authorization Assistant supports and demonstrates Family Centered Care principles when interacting with patients and their families and with co-workers.

Schedule:

• Full-time | 72 hours every two weeks
• Mon-Fri | Hours between 8am-4:30pm
• Majority remote; orientation and occasional meeting onsite

Pay and Benefits:

• Starting pay begins at $21.88 per hour; exact wage determined by years of related experience
  • Pay range: $21.12 - $31.68 per hour
• Tuition reimbursement and college grant programs available
• Full-time benefits : Medical, dental, PTO, retirement, employee discounts and more!

Qualifications:

• Associate's degree, preferably in Health Information Technology (HIT) or another health-care related program.
• 1 year of relevant healthcare experience in lieu of education.
• Minimum 1 year experience in prior authorization preferred.
• Knowledge of health care and medical practices preferred.
• CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.