Lead, Prior Authorization Specialist Twin Cities Orthopedics

We are seeking a dedicated and experienced individual to join our team as a Rheumatology and Infusion Prior Authorization and Scheduling Specialist in a lead capacity. This role plays a critical part in ensuring timely and accurate coordination of prior authorizations and scheduling for rheumatology and infusion services.

This is a full-time role Monday - Friday 8am-5pm out of our Woodbury clinic.

Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health) a group of local medical practices owned and led by its physicians on a mission to give patients more control over their healthcare.

Essential Functions:

• Lead and support a team responsible for managing prior authorizations and scheduling for rheumatology and infusion patients.
• Serve as a point of contact for complex cases and escalation support.
• Collaborate with providers clinical staff and insurance companies to ensure efficient workflow and patient care.
• Monitor performance metrics and assist in process improvement initiatives.
• Any and all other duties as assigned

Education and Experience Requirements:

• High school diploma/GED or equivalent
• 2 years prior authorization experience
• Medical terminology knowledge strongly preferred
• Minimum of 1 year of leadership experience in a healthcare or administrative setting.
• Strong understanding of prior authorization processes and infusion scheduling.
• Excellent communication organizational and problem-solving skills.
• Ability to work independently and as part of a collaborative team.
• Customer service experience

Benefits & Compensation:

• Actual starting pay will vary based on education skills and experience.
• We offer a comprehensive Medical Dental & Vision Plan Maternity Bundle 401K with Profit Sharing Tuition Reimbursement Gym & Car Rental Discounts - to learn more clickâhere.

Essential Requirements:

Ability to:

• Comply with company policies procedures practices and business ethics guidelines.
• Complete job-required training.
• Comply with all applicable laws and regulations (e.g. HIPAA Stark OSHA employment laws etc.)
• Demonstrate prompt and reliable attendance.
• Work in the clinic or office during business hours
• Travel independently throughout the clinic office or surgery center (which may include movement from floor to floor); frequent bending lifting standing stooping or sitting for long periods may be required.
• Work at an efficient and productive pace handle interruptions appropriately and meet deadlines.
• Communicate and interact respectfully and professionally.
• Prioritize workload while being flexible to meet the expectations of the daily operations.
• Apply principles of logical thinking to define problems establish facts and draw valid conclusions.
• Understand and execute a variety of instructions.
• Effectively operate equipment and communicate on and operate the phone system.
• Work independently with minimal supervision
• Travel to other work locations if required

Performance Expectations i-Healths Core Values:

• Integrity- Do the right thing and take responsibility for what you do and say.
• Service- Consistently contribute to deliver an exceptional experience.
• Quality - Act with high purpose committed effort and skillful execution to exceed expectations.
• Innovation- Identify progressive solutions that improve service teamwork efficiency and/or effectiveness.
• Teamwork - Be a part of the whole; support each other positively.

Notes:

• Infinite Health Collaborative (i-Health) is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.

Required Experience:

IC