Insurance Verification Specialist - Referrals and Authorizations
Heart Care Centers of Illinois Heart Care Centers of Illinois Palos Park, IL Palos Park, IL Full-time Full-time From $20 an hour From $20 an hour Heart Care Centers of Illinois, a multi-site network of cardiovascular providers, currently has an opening for an Insurance Specialist responsible for providing guidance, instruction, and assistance to our front desk staff regarding referrals and authorizations.
Major Duties and
Responsibilities:
Process and prioritize insurance verifications, referrals, and prior authorization requests.
Refers authorization requests that require clinical judgment to Prior Authorization Supervisor Verifies member/patient eligibility, entering information in IDX system.
Ensures insurance carrier documentation requirements are met and referral support documentation is filed in patient records Trains new and existing front desk staff on managed care procedures and protocols Identifies and informs callers of network providers, services, and available member benefits.
Informs providers of patient service decisions.
Support prior authorizations and referral clinicians Coordinates with members, providers and key departments to promote an understanding of Prior Authorization, Referral, and Insurance Verification requirements and processes Maintains and updates general understanding of application sections of evidence of coverage, handbooks, etc.
Assists other Managed Care Specialists with questions and concerns Requirements:
High School Diploma or equivalent Working knowledge of word processing and spreadsheet application software (MS Excel) Strong verbal, written and analytical skills.
Ability to prioritize and handle multiple tasks Minimum of 2 years experience in collection of medical accounts receivables Experience with Health Plan Utilization/Insurance Claims.
Knowledge of third party payor regulations, compliance policies, medical terminology and coding Heart Care Centers of Illinois offers a competitive salary with great benefits and a weekday only/no evenings schedule.
Apply today! Job Type:
Full-time Pay:
From $20.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance Schedule:
8 hour shift Day shift Monday to Friday No weekends Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
Major Duties and
Responsibilities:
Process and prioritize insurance verifications, referrals, and prior authorization requests.
Refers authorization requests that require clinical judgment to Prior Authorization Supervisor Verifies member/patient eligibility, entering information in IDX system.
Ensures insurance carrier documentation requirements are met and referral support documentation is filed in patient records Trains new and existing front desk staff on managed care procedures and protocols Identifies and informs callers of network providers, services, and available member benefits.
Informs providers of patient service decisions.
Support prior authorizations and referral clinicians Coordinates with members, providers and key departments to promote an understanding of Prior Authorization, Referral, and Insurance Verification requirements and processes Maintains and updates general understanding of application sections of evidence of coverage, handbooks, etc.
Assists other Managed Care Specialists with questions and concerns Requirements:
High School Diploma or equivalent Working knowledge of word processing and spreadsheet application software (MS Excel) Strong verbal, written and analytical skills.
Ability to prioritize and handle multiple tasks Minimum of 2 years experience in collection of medical accounts receivables Experience with Health Plan Utilization/Insurance Claims.
Knowledge of third party payor regulations, compliance policies, medical terminology and coding Heart Care Centers of Illinois offers a competitive salary with great benefits and a weekday only/no evenings schedule.
Apply today! Job Type:
Full-time Pay:
From $20.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Employee discount Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance Schedule:
8 hour shift Day shift Monday to Friday No weekends Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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