Job Description

Job Description

Job Description

Minneapolis Radiation Oncology has an opening for a Prior Authorization Specialist position at our Business Office in Edina, Minnesota. Hours are 7:30 am to 4:00 pm, Monday through Friday, starting full-time in our Edina Business Office. The ability to work a hybrid schedule with 1-2 days per week remotely is a future option once fully trained after approximately 3 to 6 months.

Duties and Responsibilities:

• Obtain prior approval from patient’s health insurance plan before moving ahead with radiation treatments or procedures to ensure health insurance claims are processed and paid correctly
• Communicate internally with clinic personnel to obtain and interpret complex radiation treatment planning information and facilitate prior authorizations and appeals for pre-service denials if needed
• Complete medical necessity paperwork and submit to/follow-up with various insurance carriers
• Review and appeal rejected claims
• Spend significant time on the phone talking to insurance companies and 3rd party vendors
• Work with various business office departments and clinics to streamline processes and ensure timely accurate billing

Requirements:

• MUST HAVE previous recent experience submitting prior authorization requests to insurance carriers.
• Prefer previous understanding of billing, coding, insurance carriers and/or radiation oncology.
• Excellent computer skills required with Microsoft Office programs and Electronic Medical Record (EMR) software are required in order to navigate quickly through multiple systems and websites.
• Excellent written and verbal communication skills to speak with health insurance carriers, medical professionals, patients and/or business office co-workers.
• Ability to reliably multi-task, pay attention to details, follow through and problem solve are required.
• Annual Influenza (flu) vaccination is required, unless approved by MRO for a medical or religious exemption. Contact MRO Human Resources for more information.

Hourly pay rate starts at approximately $23-25 per hour, based on experience and qualifications. Excellent benefits package includes generous paid vacation, sick time and holidays; health, dental, vision and disability insurance coverage; 401k with profit sharing; and more!

Please apply online at or submit resumes to careers@mropa.com.

Minneapolis Radiation Oncology provides radiation therapy treatment to cancer patients. This position is based at our Business Office in Edina, Minnesota full-time and then has the ability to work a hybrid schedule once fully trained.

Company Description

Minneapolis Radiation Oncology provides radiation therapy treatment to cancer patients. This position is based at our Business Office in Edina, Minnesota full-time and then has the ability to work a hybrid schedule once fully trained.

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