Insurance Pre-Authorization Representative
Warrenville, IL 
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Posted 29 days ago
Job Description

Position Highlights:

  • Position: Insurance Pre-Authorization Representative
  • Location: 4201 Winfield Rd, Warrenville IL
  • Full Time 40 hours per week
  • Hours: M-F, 8:00AM to 4:30PM
  • Required Travel: No

What you will do:

  • Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time.
  • Prepares pre-authorizations and FMLA/disability forms per health care guidelines/established laws for designated providers to build timely approvals/forms completion in order to preserve and generate revenue and maintain patient satisfaction.
  • Prioritizes the processing of referral requests/FMLA disability forms based on medical necessity and/or urgency of the patient case.
  • Communicates status of authorization/FMLA disability forms (approvals, denials, pending) to patients, physicians and other clinical staff.
  • Addresses all tasks, phone calls, voicemail and e-mail within established timeframes and per current department guidelines
  • Collaborates with physicians and staff as well as outside offices to obtain needed information.
  • Establishes, develops and maintains good working relationships with hospital departments, health plan representatives and physician office personnel as well as a high degree of customer service/recovery skills.
  • Maintains patient confidentiality

What you will need:

  • Associates Degree - Preferred
  • 1 Year of experience in a medical office setting
  • 1 Year Prior Epic experience
  • Strong customer service focus
  • Detail oriented
  • Ability to multi-task and work in a fast paced environment
  • Strong oral and written communication skills
  • Ability to maintain confidentiality
  • High level of understanding of FMLA/Disability laws and processes
  • Medical terminology
  • Bilingual

Benefits:

  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking at designated locations
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities


EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
1+ years
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