Prior Authorization Specialist
Jerseyville, IL Medical Group Billing
Job Type
Full-time
Description
  • Contact insurance carriers to verify patient's insurance eligibility, benefits, and authorization requirement.
  • Secure prior authorizations before services are performed.
  • Communicate insurance changes/trends to team and leadership.
  • Document all communications/contacts with providers and other personnel.
  • Prioritize time sensitive authorizations.
  • Maintain proficiency in multiple EMR systems for demographics, insurance, and clinical information.
  • Demonstrate proficiency in digital faxing, scanning, and instant messaging communication tools.
  • Other roles and responsibilities as assigned.
Requirements

Education and Experience:

  • High school graduate or equivalency.  
  • Certification through NAHAM, HFMA, AHIMA and Associates Degree preferred
  • Minimum of two years’ experience in a clinic/hospital billing, prior authorization, and/or insurance verification area, w/demonstrated payer knowledge preferred. 

Skills/Abilities:

  • Demonstrated communication and customer service skills.
  • Ability to follow oral or written instructions.
  • Ability to organize and interpret data; judgment, tact, diplomacy and the ability to problem solve.
  • Work effectively in a team environment; communicate with a variety of professionals 
  • Knowledge of computers and software required

Physical Requirements:

  • Work is of light demand.

Benefits:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Retirement
  • Paid Time Off
  • Tuition Reimbursement
  • Health Savings Account
  • Wellness Program
  • Employee Assistance Program


Salary Description
$17 - $24.67 Depending on Experience