**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 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. **Job Location:** Building B - St Marys Medical Center **Shift Rotation:** Day/Eve Rotation (United States of America) **Shift Start/End:** 0730/1600 **Hours Per Pay Period:** 80 **Compensation Range:** **Union:** SMMC USWA (SMUMS) **FTE:** 1 **Weekends:** none **Call Obligations:** **Sign On Bonus:** It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.