Onamia, MN, USA | Hourly | 20.61-30.92 per hour | Full Time
Summary
The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ensures that payers are prepared to reimburse Mille Lacs Health System for scheduled services in accordance with payer-provider contracts. Responsibilities include requesting service authorizations, preparing, and submitting documentation, and managing appeals. The position requires strong communication, insurance knowledge, and the ability to work independently and collaboratively in a fast-paced healthcare environment.
Job Duties
The essential functions of this job are identified with an asterisk (*) at the end of the bullet point.


+ Receive and monitor prior authorization requests in accordance with MLHS standards. *

+ Review accuracy and completeness of documentation and ensure all supporting materials are present. *

+ Assist with medical necessity docum...