Insurance Pre-Authorization Representative

Edward Elmhurst Health; Warrenville (IL); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Medical, Dental, Vision options

Tuition Reimbursement

Free Parking

Wellness Program Savings Plan

Retirement Options with Company Match

Paid Time Off and Holiday Pay

Community Involvement Opportunities

Job summary

Edward Elmhurst Health in Warrenville, IL is hiring an Insurance Pre-Authorization Representative for a full-time 40‑hour week. You will prepare referrals, FMLA/disability forms, and pre-authorizations to support timely patient care and revenue flow.

You will prioritize requests by urgency, communicate statuses to providers and patients, and coordinate with hospital departments and external offices while maintaining confidentiality.

Qualifications

• Associate's degree preferred.
• 1 year of experience in a medical office.
• 1 year prior Epic experience.
• Strong customer service focus and confidentiality.

Responsibilities

• Prepare referrals/FMLA/disability forms per payer criteria.
• Prepare pre-authorizations to support timely approvals.
• Prioritize referrals by medical necessity and urgency.
• Communicate authorization status to patients, physicians and staff.
• Handle calls, voicemail, and emails within guidelines.

Skills

Customer service

Multitasking

Communication skills

Confidentiality

Medical terminology

FMLA/Disability laws

Bilingual

Education

Associate's degree

Tools

Epic

Job description

Insurance Pre-Authorization Representative page is loaded## Insurance Pre-Authorization Representativelocations: SRO Corporate Center Warrenville 4201 Winfield Roadtime type: Full timeposted on: Posted Todayjob requisition id: R40182**Hourly Pay Range:**$20.29 - $29.42 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Position Highlights:*** Position: Insurance Pre- Authorization Representative* Location: Warrenville, IL* Full Time: 40 hours / weekly* Hours: Monday - Friday 8:00 AM - 4:30 PM. No Weekends, Holidays (excluding eves), or On-Call Schedule**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:*** Associate's degree Preferred* 1 Year of experience in a medical office setting And* 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 (For full time or part time positions):*** Career Pathways to Promote Professional Growth and Development* Various Medical, Dental, Pet and Vision options* Tuition Reimbursement* Free Parking* Wellness Program Savings Plan* Health Savings Account Options* Retirement Options with Company Match* Paid Time Off and Holiday Pay* Community Involvement OpportunitiesEndeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit .When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.Please explore our website to better understand how Endeavor Health delivers on its mission to \"help everyone in our communities be their best\".Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging - each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.**Welcome to Endeavor Health Careers**At Endeavor Health, we believe every role plays an important part in advancing our mission to help everyone in our communities be their best. Whether you're just beginning your career journey or are a seasoned professional, you'll find opportunities here to learn, grow, and thrive.Your Career is our Endeavor.