Precision Authorization & Referral Specialist

CommonSpirit Health; Chicago (IL); On-site; USD 42,000 - 54,000; Full time

Job summary

CommonSpirit Health is seeking an Insurance Authorization & Referral Specialist to streamline patient intake by securing authorizations and referrals for hospital procedures and multi-specialty services. You will handle pre-registration, verify insurance details, check medical necessity, and collect pre-service payments while guiding staff on authorization requirements.

You will maintain accurate data across systems, support training for new hires, and assist with complex inquiries to ensure a

Qualifications

• High School Graduate or GED with any medical course of study from an accredited institution.
• Two years of medical office, authorization or hospital environment experience.

Responsibilities

• Obtain timely authorizations and referrals for diverse hospital procedures and multi-specialty medical services.
• Conduct thorough pre-registration duties, including insurance verification, medical necessity checking, and pre-service payment collection.
• Accurately maintain and update patient and insurance data across hospital and clinic information systems.
• Provide ongoing training and support to staff members regarding authorization workflows and essential documentation requirements.
• Resolve patient account inquiries with empathy and professionalism, enhancing the overall patient experience.
• Collaborate with clinical personnel and third-party payers to ensure seamless coordination of care and financial services.

Skills

Insurance verification

Authorization workflows

Customer service

Data entry

Education

High School Diploma or GED

Tools

Hospital information systems

Job description

CommonSpirit Health is seeking an Insurance Authorization & Referral Specialist to streamline patient intake by securing authorizations and referrals for hospital procedures and multi-specialty services. You will handle pre-registration, verify insurance details, check medical necessity, and collect pre-service payments while guiding staff on authorization requirements.

You will maintain accurate data across systems, support training for new hires, and assist with complex inquiries to ensure a