Building Location:Building B - St Marys Medical Center

Department:2194290 AMBERWING - AMB

Job Description:Plans, implements, and monitors Managed Care Authorization System for the Department of Behavioral Health. This includes insurance and benefit verification, monitoring of utilization, and ascertaining that the clinician completes required documentation. Maintains and updates authorization and referral documentation in the medical record. Reviews denials and recommends changes for claims resubmission. Further duties include being a liaison between departments and hospitals regarding managed care issues. Provides education to providers regarding managed care and contracted insurance requirements to optimize reimbursement.

Experience:
3 years related work experience with healthcare billing, benefit verification and managed care knowledge.

Education Qualifications:

none

Licensure/Certification Qualifications:

None

FTE:1

Possible Remote/Hybrid Option:

Shift Rotation:Day/Eve Rotation (United States of America)

Shift Start Time:0730

Shift End Time:1600

Weekends:none

Holidays:No

Call Obligation:No

Union:SMMC USWA (SMUMS)

Union Posting Deadline:09/12/2025

Compensation Range:

-

Employee Benefits at Essentia Health:
At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.