CAREER OPPORTUNITY
Prior Authorization Specialist
Date Posted: 8-14-2025
Reports to: Business Office Supervisor
Location: Mercy Hospital, Coon Rapids
Job Status/Hours: Full time remote
Internal Application Deadline: 8-22-2025
Position Summary:
We are seeking a full time, motivated and talented Prior Auth Specialist to join our busy, fast-paced specialty office at Metropolitan Heart & Vascular Institute. This position will be responsible for prior authorization for procedures and verifying accurate insurance information. Come be a part in our patient’s lives and work for an organization that puts its staff and patients first.
Job Responsibilities:
• Verify and update insurance coverage to ensure patient eligibility.
• Act as a resource for prior authorizations, referral, and insurance questions from business office staff, providers, employees, and patients.
• Gather patient records and submit online requests to insurance companies for prior authorization. May need to call patients and outside facilities to gather information.
• Is a liaison between MHVI and Allina Business office, being the patients advocate for pending or denied claims.
• Ability to deliver high quality customer service to external and internal customers by communicating with knowledge and compassion.
• Work as part of a team to complete departmental responsibilities.
• Promote a positive work environment through effective teamwork.
• Review patient work queues and corrects information when necessary.
• Work the Claims work queue, follow-up work queue and does miscellaneous back-end follow-up.
Qualifications:
• Requires high school diploma or equivalent
• 2-4 years of current prior authorization experience or Revenue Cycle (Registration, Billing, Coding) experience
• Experience with insurance portals for processing prior authorizations
• Ability to prioritize multiple tasks with frequent interruptions
• Deliver high quality customer service to external and internal customers
• Ability to work efficiently and accurately in a fast-paced environment
• A team player with the ability to work independently
• Must have strong computer skills. Epic/Excellian strongly preferred
• Strong attention to detail and high accuracy rate required
• Ability to develop a positive, comforting rapport with patients
MHVI Offers a full benefit package, including:
• Competitive pay
• Employer HSA contribution
• 401k profit sharing and ongoing contribution – no employee contribution needed
• PTO plus paid holidays
• Medical insurance, including access to free online/at-home care
If you are interested in this position, please email HumanResources@mhvi.com
As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, veteran, or disability status.
