Job Description

**Job Overview** **Overview** This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient's service and/or verifying they meet any medical policy criteria required by the patient's insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care teams, operational teams, various other internal customers, and patients/guarantors. There are a limited number of Level III and Lead positions available and are filled as business needs present. **Required Qualifications** + Bachelor of Arts in business, healthcare, or related area. 3 years of revenue cycle experience may substitute for an associate degree. + 1 year experience working in revenue cycle, insurance verification, financial securing, or related areas using an EHR or enterprise software system in a healthcare organization. This experience must be in addition to three years of experience in lieu of associate degree requirement above. + Knowledge of insurance terminology, plan types, structures, and approval types + Knowledge of computer systems, including Microsoft Office 365 **Preferred Qualifications** + Referrals and/or prior authorization experience + Epic experience + Knowledge of medical terminology and clinical documentation review **Benefit Overview** Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: **Compensation Disclaimer** An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. **EEO Statement** EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Job Tags

Temporary work, Work at office, Remote work,

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