Patient Billing & Authorization Specialist

Springfield Clinic; Springfield (IL); On-site; USD 36,000 - 48,000; Full time

Job summary

Springfield Clinic is seeking a Patient Service Representative - Prior Authorization to verify insurance coverage before treatment and secure prior approvals. The role includes educating patients on billing policies, assisting with credit concerns, and coordinating with insurance carriers to ensure timely payment.

The successful candidate will have strong communication skills, proficiency in MS Office, and a compassionate, patient-focused approach within a fast-paced clinic setting.

Qualifications

• High School diploma or GED required with 2–3 years medical billing experience.
• Proficient in MS Office and insurance/billing terminology.
• Strong verbal communication and empathetic patient interactions.

Responsibilities

• Verify coverage and benefits prior to treatment.
• Secure prior-approval and pre-authorizations.
• Maintain proficiency with insurance and billing issues as a resource to staff.
• Provide excellent customer service and explain billing policies to patients.
• Enter/edit patient insurance coverage and demographics as needed.
• Respond to patient questions about coverage and billing promptly.

Skills

Multitasking

MS Office

Verbal communication

Customer service

Empathy

Education

High School diploma or GED

2–3 years medical billing experience

Job description

Springfield Clinic is seeking a Patient Service Representative - Prior Authorization to verify insurance coverage before treatment and secure prior approvals. The role includes educating patients on billing policies, assisting with credit concerns, and coordinating with insurance carriers to ensure timely payment.

The successful candidate will have strong communication skills, proficiency in MS Office, and a compassionate, patient-focused approach within a fast-paced clinic setting.