Patient Billing & Authorization Specialist

Springfield Clinic; Peoria (IL); On-site; USD 42,000 - 54,000; Full time

Job summary

Springfield Clinic is seeking a Patient Service Representative - Prior Authorization to discuss insurance coverage, verify benefits, secure pre-authorizations, and educate patients about billing policies. The role involves coordinating with insurance carriers and assisting staff with billing issues.

The ideal candidate has strong communication skills, 2–3 years in medical billing, and the ability to manage multiple tasks in a fast-paced clinic environment. High school diploma required.

Qualifications

• High School diploma or GED required.
• Minimum 2–3 years experience in medical billing and insurance preferred.
• Strong communication and multitasking abilities with attention to detail.

Responsibilities

• Verify coverage and benefits prior to treatment.
• Secure prior-approval and pre-authorizations.
• Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
• Provide a positive impression to patients about the Clinic's billing department.
• Enter/edit patient insurance coverage/demographic information when necessary.
• Answer questions that patients may have in regard to insurance coverage and other billing issues.
• Respond to patient's verbal and written requests in a timely fashion.
• Maintain statistics.
• Maintain proficiency with insurance and billing issues by participating in Patient Accounting meetings and training sessions as appropriate.
• Must be empathetic, yet responsive to patients while adhering to Patient Accounting billing practices and guidelines.
• Provide coverage at other Springfield Clinic locations as assigned.
• Comply with the Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
• Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
• Perform other job duties as assigned.

Skills

Verbal communication

Customer service

Insurance billing

Multitasking

Microsoft Office

Education

High School diploma or GED

Tools

Microsoft Office

Registration software

Job description

Springfield Clinic is seeking a Patient Service Representative - Prior Authorization to discuss insurance coverage, verify benefits, secure pre-authorizations, and educate patients about billing policies. The role involves coordinating with insurance carriers and assisting staff with billing issues.

The ideal candidate has strong communication skills, 2–3 years in medical billing, and the ability to manage multiple tasks in a fast-paced clinic environment. High school diploma required.