Requisition Number: 508748

Why North Memorial Health?

At North Memorial Health you will be a valuable member of our inclusive and nurturing team that values professional growth, offering big benefits like tuition reimbursement and a supportive culture with a world of education and training opportunities.

Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 25 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center, and Level III NICU. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals® list, 2023 Women’s Choice Award Best Hospitals list.

Benefits the North Way!

As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.

Adoption Reimbursement up to $3000 per child!
Child Care Discount Program with New Horizon 10% off weekly childcare tuition!
Education/Tuition Reimbursement
24/7 Fitness Center Access for all benefit eligible team members!

Commitment to Diversity, Equity & Inclusion

At North Memorial Health We Recognize That The Strength Of Our Team Lies In Our Diversity And Make Every Effort To Embrace The Unique Contributions And Experiences Of Each Person On Our Team. We Strive To Ensure That Everyone Feels Like They Are a Valuable Part Of Our Community, With Initiatives That Reinforce Our Belief In Diversity, Equity, And Inclusivity, To Promote a Workforce That Enables Authenticity, As We Want To Be Our Best When Providing Effective Services To Our Patients. We Acknowledge And Celebrate The Unique Traditions, Backgrounds, Languages, Beliefs, And Customs Of Our Community, And Want Everyone To Feel Welcome. Through Our DE&I Initiatives We Hope To Dispel Myths, Assumptions, And Acts Of Implicit Bias. Some Of These Initiatives Include

Addressing system racism and inequities through our Safer Work Environment (Safer) initiative
Use of pronoun badges and preferred names
Encouraging cultural awareness through education and training

About This Position

The Authorization Specialist initiates and coordinates pre certification and prior authorization for customers with their insurance provider. The Authorization Specialist works closely with referring clinics, schedulers, internal clinics and physicians to ensure all clinical documentation has been obtained to gain authorization approvals in a timely matter. The Authorization specialist is also responsible for any pre service denials, whether this be completing the appeal, or guiding the physicians on the appropriate steps to gain authorization approval.

Requirements

Education

High school graduate or equivalent required
Bachelor's degree strongly preferred

Experience

One to two years of work experience in Health Insurance, Prior Authorization, or a related health care field.
Prior experience in customer service, especially in front end patient interactions regarding financial processes.
Prior experience in communicating with insurance carriers to obtain authorization for services is preferred,
EPIC Experience preferred
Excellent customer service and interpersonal skills.
Effective organizational skills, including ability to prioritize, problem solve, and resolve conflict.
Excellent communication skills, especially when interacting with patients and families.
Advanced knowledge of insurance, including government assistance programs.
Medical Terminology
Must be able to work under considerable stress, using tact and diplomacy.
Strong computer skills..
Basic math skills.

Licensure/Certification

The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.

Work Group: Non Contract

Hours per two week pay period: 80

Shift: Days 8 hours

Weekend Requirement: None

Call Requirement: None

Remote or On-site: Remote

FLSA Status: Non-Exempt

Benefits: Yes

North Memorial Health jobs

Authorization Specialist