- 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
- 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
- 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
- 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
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Insurance Pre-Authorization Representative - Warrenville, United States - Northshore
