Clinical Pre Authorization

At Altru Health System, we are looking for a highly organized and detail-oriented individual to join our team as a Clinical Pre Authorization Representative. The successful candidate will be responsible for assisting with the prior authorization process for reviewing and approving clinical services.The ideal candidate will have a strong background in healthcare and possess excellent customer service skills. They must also have a high level of accuracy and the ability to handle a large volume of tasks and requests. A working knowledge of medical terminology and CPT/ICD-10 codes is desired.In this role, you will be responsible for reviewing, processing, and approving prior authorization requests as well as monitoring the prior authorization process to ensure compliance with regulatory and accreditation standards. You will also need to be able to effectively communicate with internal and external customers to ensure their requests and needs are met in a timely manner. The successful candidate must also be an independent problem solver with the ability to take initiative and work with minimal supervision. This position requires a high degree of professionalism and an unwavering commitment to customer service excellence. If you have the qualifications we are seeking and would like to join a team dedicated to providing the highest quality of care, please submit your resume for consideration. We look forward to hearing from you!

Responsibilities:

1. Review and approve clinical service prior authorization requests in a timely manner.
2. Monitor prior authorization process to ensure compliance with regulatory and accreditation standards.
3. Respond to internal and external customer inquiries regarding the prior authorization process.
4. Utilize medical terminology and CPT/ICD-10 codes to effectively process prior authorization requests.
5. Take initiative to problem solve and work with minimal supervision.
6. Demonstrate professionalism and commitment to customer service excellence.
7. Maintain accurate records and documentation of prior authorization processes.
8. Work collaboratively with other departments to ensure successful prior authorization processes.

According to JobzMall, the average salary range for a Clinical Pre Authorization in Grand Forks, ND, USA is between $42,000 and $57,000 per year. This range reflects the median salary for this role in the area.

Altru Health System is an American healthcare provider headquartered in Grand Forks, North Dakota. Altru Health System is a not for profit organization that serves a region with a population base of roughly 225,000. Altru Health System employs 3,500 people including a 160+ physician medical group.