Back to search
HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.
The Precertification and Authorization Call Center Representative is an intermediate-level role responsible for supporting referral, precertification, and prior authorization workflows within a high-volume call center environment. This position serves as a key point of contact for insurance payers, physician offices, and patients, facilitating timely communication and coordination throughout the authorization process. While team members do not directly initiate or submit authorizations, they provide critical operational support by managing inbound calls, addressing inquiries, gathering and communicating necessary information, and coordinating next steps with appropriate departments and clinical practices. Team members support more than 23 Prior Authorization specialty skills, requiring the ability to navigate diverse workflows, systems, and departmental processes while adapting to varying customer and authorization needs. Success in this role requires strong communication and customer service skills, adaptability, attention to detail, sound judgment, and the ability to effectively manage competing priorities in a fast-paced environment. Team members are expected to consistently meet established quality, productivity, and compliance standards while maintaining a positive experience for both internal and external customers. To support efficient and effective operations, team members are expected to maintain an average productivity rate of 6.5 calls per hour while demonstrating professionalism, accuracy, responsiveness, and exceptional customer service. Performance expectations include adherence to quality assurance standards, regulatory and compliance requirements, and departmental procedures. Ultimately, success in this role requires effectively balancing productivity with accuracy, customer satisfaction, timely resolution, and operational excellence while contributing to broader departmental goals and service standards.
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Learn more about this Employer on their Career Site
