Prior Authorization Specialist

Are you looking for a work-life balance, and a stable schedule Monday-Friday in an office setting?  Do you enjoy a routine schedule and possess strong attention to detail?

Eveleth Support Office is seeking applications for a Prior Authorization Specialist. This position will be Full-time, approximately 40 hours a week.

POSITION SUMMARY: 

Responsibilities include processing intakes, authorizations and service agreements; reviewing and completing service and/or payor changes, accurately and timely; and contacting appropriate insurance agencies to verify benefits, eligibility and prior authorization requirements.  Members of our Prior Authorization team professionally assist and nurture effective working relations with all management, employees, clients, vendors, and the public. 

QUALIFICATIONS: 

• Two years' prior authorization/billing experience in a professional fast-paced office is preferred. Previous experience in a health care office and/or health insurance knowledge required.
• High school graduate, preferably with some advance courses in business as normally acquired through business or technical college certification.
• Position requires candidates to have a high level of proficiency in general computer programs, including Microsoft Excel and Word
• Must have the ability to prioritize in a high volume of requests and work independently.
• Candidates will be subject to a criminal background study and must be able to meet the physical requirements of the position.

PHYSICAL ESSENTIAL FUNCTIONS:

• Must be able to remain in a stationary position (sitting/standing) in front of a computer for an 8-hour workday
• Ability to occasionally move about inside the office to access file cabinets, office machinery, etc.
• Constantly operate a computer and other office machinery, such as a copy machine, scanner and printer
• Ability to make thoughtful decisions, read, write, speak publicly, and interpret data

Spectrum is an EOE/Drug Free/AA employer

ABOUT US:  Spectrum Health Companies is a MN-based statewide community health care provider of Assisted Living, Memory Care, Homecare and Independent Living services. We are proudly Medicare certified, and Deficiency Free for 3 MDH surveys in a row!  We value a positive team-work environment, provide opportunity for career advancement, and strongly encourage a work-life balance.

BENEFITS OVERVIEW: Medical/Dental/Vision insurance, company paid basic life and AD&D insurance, Supplemental and Voluntary insurance options, 401K with employer match, Paid Time Off/Holidays, free (PAID) training, scholarship opportunities, tuition, discounts, cell phone discounts, and Flexible Health Spending Account/Dependent Care Account/Health Savings Account options.

If your experience and qualifications match our needs, please apply online at www.spectrumhealthcos.com! 

Only those for potential match will be contact by our HR department for further consideration.

Current Openings for Prior Authorization Specialist Jobs at Spectrum Health Companies