Insurance Pre-Authorization Representative

2200 Elmhurst Memorial Hospital; Warrenville (IL); Vor Ort; USD 28.000 - 40.000; Vollzeit

Benefits dieser Stelle

Free Parking

Wellness Program

Savings Plan

Health Savings Account Options

Retirement Options with Company Match

Paid Time Off and Holiday Pay

Community Involvement Opportunities

Tuition Reimbursement

Zusammenfassung

Endeavor Health seeks an Insurance Pre- Authorization Representative in Warrenville, IL. The role handles referrals, pre-authorizations, and FMLA/disability forms to support timely approvals and revenue generation.

The candidate should have an associate’s degree, 1 year of medical office experience, Epic experience, and a strong customer service focus. This full-time position offers a structured schedule with no weekends or on-call shifts.

Qualifikationen

• Associate's degree required.
• 1 year of experience in a medical office setting preferred.
• 1 year prior Epic experience preferred.
• Strong customer service focus.
• Detail oriented and able to multi-task.
• Excellent written and verbal communication.
• Maintain patient confidentiality and trust.

Aufgaben

• Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response.
• Prepares pre-authorizations and FMLA/disability forms per guidelines to build timely approvals and revenue.
• Prioritizes processing of referral requests and FMLA disability forms based on medical necessity.
• Communicates status of authorizations to patients, physicians and staff.
• Handles calls, voicemail and email within established timeframes and guidelines.
• Collaborates with physicians and outside offices to obtain needed information.
• Maintains relationships with hospital departments and health plan representatives with strong customer service.

Kenntnisse

Associate's degree

Customer service

Multitasking

Communication skills

Confidentiality

FMLA/Disability knowledge

Medical terminology

Bilingual

Epic experience

Medical office experience

Ausbildung

Associate's degree

Jobbeschreibung

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: 36 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 Opportunities

Endeavor 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 www.endeavorhealth.org.

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 (www.endeavorhealth.org) 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.