Insurance Verification & Authorization Specialist

UChicago Medicine; Crown Point (IN); Hybrid; USD 42,000 - 62,000; Full time

Job summary

UChicago Medicine is seeking an Insurance Verification & Authorization Specialist to ensure financial clearance for scheduled services. You will coordinate with Managed Care, secure referrals, verify benefits, and obtain authorizations while maintaining strong customer service and communication with patients and care teams.

The role requires familiarity with insurance procedures, CPT/diagnostic coding, Epic, and MS Office, with emphasis on accuracy and patient confidentiality in a fast-paced

Qualifications

• Associates’ degree in business, healthcare or related field is required or 3+ years revenue cycle experience.
• Knowledgeable in medical terminology is strongly preferred; certificate is a plus.
• Knowledgeable in diagnostic and CPT coding and guidelines is strongly preferred.
• 3 years of prior Epic experience required.
• Knowledgeable in Microsoft Office applications strongly preferred.
• High degree of initiative and problem solving ability.
• Must be able to prioritize and execute multiple tasks in a high-pressure environment.
• Strong customer service orientation and commitment to excellence in a changing environment.
• Excellent communication skills and ability to interact with diverse audiences.
• Team-oriented but able to work independently and make patient-centered decisions.
• Willingness to adapt to new systems and processes as technology advances.

Responsibilities

• Secure HMO referrals as necessary based on plan and service prior to the date of service.
• Contact the insurance company via phone or portal to review benefits, understand authorization requirements, initiate the authorization, supply clinicals as needed, and follow up on authorization decision.
• Serve as the liaison between the providers, ancillary areas, utilization management, patient financial services, etc.
• Work collaboratively with our Mang partners to ensure timely screening for Medicaid coverage
• Accurate documentation in the EMR to support the account activity for financial clearance
• Assist with Epic work queues as assigned to correct any account deficiencies timely for billing.
• Contacts patients as necessary to obtain additional information as needed for accurate and timely billing
• Complete the notification of admission on bedded patients in accordance with the payer guidelines and department standards

Skills

Epic experience

Medical terminology

CPT coding

MS Office

Communication skills

Customer service

Teamwork

Problem solving

Education

Associates’ degree in business, healthcare or related field

Tools

Epic

Job description

UChicago Medicine is seeking an Insurance Verification & Authorization Specialist to ensure financial clearance for scheduled services. You will coordinate with Managed Care, secure referrals, verify benefits, and obtain authorizations while maintaining strong customer service and communication with patients and care teams.

The role requires familiarity with insurance procedures, CPT/diagnostic coding, Epic, and MS Office, with emphasis on accuracy and patient confidentiality in a fast-paced