Find & Apply For Insurance Claims / Policy Clerk Jobs in Minneapolis, Minnesota

Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Minneapolis (near the Edina area). Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office. The ability to work a hybrid schedule with 1-2 days per week remotely is an option once fully trained after approximately 3 to 6 months.

Duties and Responsibilities:

• Obtain prior approval from patient's health insurance plan before moving ahead with radiation treatments or procedures to ensure health insurance claims are processed and paid correctly
• Communicate internally with clinic personnel to obtain and interpret complex radiation treatment planning information and quickly facilitate prior authorizations and appeals for pre-service denials if needed
• Complete medical necessity paperwork and submit to/follow-up with various insurance carriers
• Review and appeal rejected claims
• Spend significant time on the phone talking to insurance companies and 3rd party vendors
• Work with various business office departments and clinics to streamline processes and ensure timely accurate billing

Requirements:

MUST HAVE

previous recent experience submitting prior authorization requests to insurance carriers.

• Prefer previous understanding of billing, coding, insurance carriers and/or radiation oncology.
• Excellent computer skills with Microsoft Office programs and Electronic Medical Record (EMR) software are required to be able navigate a variety of systems and websites quickly.
• Excellent written and verbal communication skills to speak with health insurance carriers, medical professionals, patients and/or business office co-workers.
• Ability to reliably multi-task, pay attention to details, follow through and problem solve are required.
• Annual Influenza (flu) vaccination is required, unless approved by MRO for a medical or religious exemption.

Contact MRO Human Resources for more information. Hourly pay rate starts at approximately $23-25 per hour, based on experience and qualifications. Excellent benefits package includes generous paid vacation, sick time and holidays; health, dental, vision and disability insurance coverage; 401k with profit sharing; and more! Please apply online at www.mropa.com/careers or submit resumes to careers@mropa.com. MRO is an Equal Employment /

Affirmative Action Employer Job Type:

Full-time Pay:

$23.00 - $25.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Tuition reimbursement Vision insurance People with a criminal record are encouraged to apply Application Question(s): Describe your previous experience working with insurance carriers and submitting prior authorization requests. What is your desired starting pay range?

Work Location:

Hybrid remote in Minneapolis, MN 55439