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Pre-Authorization - Medical Forms Rep
1 month ago
Position Highlights:
- Position: Pre-Authorization - Medical Forms Rep
- Location: 4201 Winfield Rd, Warrenville, IL
- Full Time/Part Time: [Full Time / Part Time]
- Hours: Monday-Friday 8am-4:30pm
- Required Travel: No
What you will do:
- Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time.
- Prepares pre-authorizations and FMLA/disability forms per health care guidelines/established laws for designated providers to build timely approvals/forms completion in order to preserve and generate revenue and maintain patient satisfaction.
- Prioritizes the processing of referral requests/FMLA disability forms based on medical necessity and/or urgency of the patient case.
- Communicates status of authorization/FMLA disability forms (approvals, denials, pending) to patients, physicians and other clinical staff.
- Addresses all tasks, phone calls, voicemail and e-mail within established timeframes and per current department guidelines
- Collaborates with physicians and staff as well as outside offices to obtain needed information.
- Establishes, develops and maintains good working relationships with hospital departments, health plan representatives and physician office personnel as well as a high degree of customer service/recovery skills.
- Maintains patient confidentiality
What you will need:
- Associates Degree Preferred
- 1 Year of experience in a medical office setting And
- 1 Year Prior Epic experience
- Strong customer service focus
- Detail oriented
- Ability to multi-task and work in a fast paced environment
- Strong oral and written communication skills
- Ability to maintain confidentiality
- High level of understanding of FMLA/Disability laws and processes
- Medical terminology
- Bilingual
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
