Referral and Authorization Analyst

Kirby Medical Center; Monticello (IL); Hybrid; USD 46,913,000 - 58,595,000; Full time

Benefits offered by this job

PTO 40 hours

Health Insurance

Dental Insurance

Vision Insurance

401(k) match

Wellness program

Job summary

Kirby Medical Center in Monticello, IL seeks a Referral and Authorization Analyst to support the Revenue Cycle by validating insurance coverage, calculating benefits, and handling pre-authorization tasks. The role collaborates with Admitting, Medical Records, and physicians’ offices to ensure accurate billing and timely approvals.

Ideal candidates have strong customer service experience, Medicare/Medicaid knowledge, and data-entry skills.

Qualifications

• High school diploma or equivalent preferred.
• Previous customer service experience preferred.
• Basic computer knowledge with data entry skills.

Responsibilities

• Compile itemized hospital bills and verify patient insurance coverage.
• Compute patient insurance benefits and communicate eligibility.
• Coordinate with Admitting Office, Medical Records and physicians' staff.
• Assist in performance improvement and CQI activities.
• Support pre-authorization and referral workflows.

Skills

Medicare knowledge

Insurance billing

Data entry

Customer service

Education

High School Diploma

Job description

Job Title:Referral and Authorization Analyst
Location: Monticello, Illinois
Department: Revenue Cycle
Position Type: Full-time
Hours per week: 40
Schedule: Monday – Friday; 8am – 4:30pm
Holiday Requirement: none
On Call: none
Hourly Rate: $16.38-20.48
*Compensation dependent on experience
# of Openings: 1

Job Summary:

The Referral and Pre-Authorization Clerk is responsible for compiling itemized hospital bills, verifying patient insurance coverage and computing patient insurance benefits. Works closely with the Admitting Office, Medical Records, and physicians' office staff. Participates in performance improvement and CQI activities.

Benefits:

• 40 hours of PTO effective date of hire
• Health, Dental, Vision and Life insurance effective date of hire
• Generous 401(k) match effective after 90 days
• Quality/Goal incentive annually
• Free Wellness Program

Requirements

Regulatory Requirements:

• High school graduate or equivalent preferred.
• Previous customer service experience preferred.

Skills:

• Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies.
• Basic computer knowledge, data entry skills.

Kirby Medical Center is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.