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Mayo Clinic2 days ago

Precert and Authorization Rep

Hybrid · Rochester, Minnesota, United States

Type
Full Time
Level
Mid Level
Education
Not Specified
Company size
Enterprise
Industry
Healthcare Tech

Job Summary

Precertification and Authorization Representative in Mayo Clinic's Patient Access team. This hybrid, full-time inbound call center role near Rochester, MN handles precertification, prior authorization, and insurance verification across commercial, government, and other payors for inpatient, outpatient, ED, and ambulatory settings, with potential responsibilities for pre-appointment PAIR and denials recovery. The role requires locating and sending documentation, verifying eligibility and transplant-related benefits, providing real-time payer information, documenting actions for follow-up, and escalating unresolved issues. The Transplant Precertification and Authorization track focuses on transplant-related insurance inquiries and requires taking ownership of calls, answering questions, and recording responses. The position includes an on-demand video interview as part of the selection process.

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Mayo Clinic

Precert and Authorization Rep

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