Prior Authorization Representative - Diagnostic Imaging

RiverView Health

Crookston, MN 56716

Posted 1 month ago

Job Description

RiverView Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN.


RiverView Health operates a 25 bed Critical Access Hospital, a 24 bed hospital attached memory care skilled nursing facility, RiverView Recovery Center; a chemical dependency outpatient treatment program, RiverView Home Care and five primary care and specialty clinics in the hospitals service area.


We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.


RiverView is an Equal Employment Opportunity employer.


RiverView Health has an opening for a full-time (80 hours every 2 weeks) Prior Authorization Representative for Diagnostic Imaging. The Prior Authorization Representative is responsible for providing accurate and complete data input for precertification requests. Duties include checking for a signed Physician’s note from the patient’s office visit, checking for current patient bad debt and if so refers them to Patient Financial Counselor, making initial contact to health plans to verify insurance coverage, obtaining authorization, entering information into the referral screen and attaching to the exam in EPIC and maintaining patient confidentiality as defined by state, federal and company regulations. The Prior Authorization Representative will work with providers, Clinic staff and insurance companies throughout this process.


+ Position requires completion of post-secondary education in a medical field, or 5 years related work experience in a medical field.


+ Work experience with the Prior Authorization process and experience with an integrated electronic health record system is preferred.


+ Working knowledge of computers, excellent communication and organization skills is preferred.


External Company URL: www.riverviewhealth.org


Street: 323 S. Minnesota St.



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