Current jobs related to Patient Accounts Pre-Authorization Specialist - Rockford - Rockford Gastroenterology, Assc., LTD

  • Patient Access Specialist

    2 months ago

    Rockford, United States Mercy Health Full time

    Overview: Patient Access Specialist, Days, 80 Hrs / 2 wks Location: Rockton Ave Campus; Rockford, IL. Hybrid schedule opportunities available after probationary period. Responsible for correctly prioritizing and completing all steps of the scheduling, referral management, authorization, verification and registration process prior to patients receiving...

  • Patient Access Coordinator

    6 days ago

    Rockford, Illinois, United States Mercy Health Full time

    Job Title: Patient Access Specialist 1Job Summary:We are seeking a highly organized and detail-oriented Patient Access Specialist 1 to join our team at Mercy Health. As a Patient Access Specialist, you will be responsible for ensuring that all scheduled visits are pre-registered and accounts are appropriately certified/authorized in advance of the service...

  • Patient Access Coordinator

    2 weeks ago

    Rockford, Illinois, United States Mercy Health Full time

    Job SummaryMercy Health is seeking a highly skilled Patient Access Specialist to join our team. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to healthcare services.Key ResponsibilitiesPre-register patients and ensure that all necessary information is collected and...

  • Patient Access Coordinator

    3 days ago

    Rockford, Illinois, United States Mercy Health Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Mercy Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to healthcare services.Key ResponsibilitiesPre-register patients and ensure that all necessary information is gathered to facilitate...

  • Patient Access Coordinator

    2 days ago

    Rockford, Illinois, United States Mercy Health Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Mercy Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to healthcare services.Key ResponsibilitiesPre-register patients and ensure that all necessary information is gathered to facilitate...

  • Accounting Specialist

    3 weeks ago

    Rockford, Illinois, United States Sapphire Ventures Full time

    We are seeking a highly skilled Accounting Specialist to support our team at Sapphire Ventures in organizing our financial operations. The ideal candidate will have professional experience in office organization and accounting, ideally in a financial services company or a similar industry.Key Responsibilities:Manage our financial records and notarial...

  • Patient Access Coordinator

    2 weeks ago

    Rockford, Illinois, United States Mercy Health Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Mercy Health. As a key member of our healthcare team, you will be responsible for ensuring seamless patient access to our services, from scheduling and registration to authorization and verification.Key ResponsibilitiesCoordinate patient scheduling, registration, and...

  • Accounting Specialist

    6 days ago

    Rockford, Illinois, United States Sapphire Ventures Full time

    Accounting Clerk PositionWe are seeking a highly skilled and detail-oriented Accounting Clerk to support our team in organizing our notary office in Munich. The ideal candidate will have professional experience in office organization and accounting, preferably in a notary office or law firm.Key Responsibilities:Manage notarial books and recordsHandle...

  • Accounting Specialist

    2 weeks ago

    Rockford, Illinois, United States H&R Block Full time

    About the RoleWe are seeking a highly skilled Accounting Specialist to join our team at H&R Block. As an Accounting Specialist, you will play a critical role in providing bookkeeping and payroll services to our small business clients.Key ResponsibilitiesProvide bookkeeping and payroll services to clients, including assisting with client onboarding, accurate...

  • Accounting Specialist

    1 week ago

    Rockford, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are in search of an Accounting Specialist who will be a part of our team in Rockford, Tennessee. The role involves managing various accounting functions, utilizing our Enterprise Resource Planning (ERP) and other accounting software systems. The position will focus on maintaining accurate financial records and performing...

  • Client Account Specialist

    4 weeks ago

    Rockford, Illinois, United States Rosecrance Inc. Full time

    Job OverviewEmpower lives through dedicated service.About the Role: Oversee and support client business accounts while providing guidance to clients and their families regarding funding options for treatment.Key Qualifications:• High School diploma or equivalent• At least two years of experience managing third-party insurance claims• Proficient in data...

  • Client Account Specialist

    4 weeks ago

    Rockford, Illinois, United States Rosecrance Inc. Full time

    Position OverviewTransforming lives through dedicated service.Become part of a mission-driven organization committed to excellence.Role Objective: Oversee and sustain client business accounts while providing essential information to clients and their families about funding options for treatment.Required Qualifications:• High School diploma or equivalent•...

  • Client Account Specialist

    4 weeks ago

    Rockford, Illinois, United States Rosecrance Inc. Full time

    Job OverviewTransforming lives through dedicated service.About the Role: Oversee and sustain client business accounts while acting as a vital resource for clients and their families concerning funding options for treatment.Essential Qualifications:• High School diploma or equivalent• At least two years of experience in managing third-party insurance...

  • Patient Access Specialist 1

    2 weeks ago

    Rockford, United States Mercy Health Full time

    Patient Access Specialist, Days, Harvard, 80 Hrs / 2 wks - Location: Mercyhealth Harvard Business Office - Hybrid and flexible work schedule opportunities available after probationary period. Responsible for correctly prioritizing and completing all Patient Access, Specialist, Patient, Financial, Healthcare, Payment

  • Patient Access Coordinator

    2 weeks ago

    Rockford, Illinois, United States Mercy Health Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at Mercy Health. As a key member of our healthcare team, you will be responsible for ensuring seamless patient access to our services, while maintaining the highest level of patient satisfaction and financial integrity.Key ResponsibilitiesPatient Scheduling and...

  • Junior Accounting Specialist

    4 weeks ago

    Rockford, Illinois, United States Hard Rock International (USA), Inc. Full time

    Job OverviewPosition SummaryThe individual in this role is tasked with delivering precise and timely financial data for both internal and external stakeholders. This includes ensuring the accuracy and integrity of accounting records to facilitate the compilation, reconciliation, adjustment, and reclassification of financial and operational information. The...

  • Accounting Specialist

    2 weeks ago

    Rockford, Illinois, United States H&R Block Full time

    Job OverviewWe are seeking a highly skilled Accounting Specialist to join our team at H&R Block. As a key member of our financial services team, you will be responsible for providing bookkeeping and payroll services to our small business clients.Key ResponsibilitiesFinancial Transaction Management: Assist clients with accurate and timely recording of...

  • Employee Benefits Account Manager

    5 days ago

    Rockford, Illinois, United States Gpac Full time

    Employee Benefits Account ManagerA leading agency seeks an experienced Employee Benefits Account Manager to join their team. The ideal candidate will have a strong work ethic, a drive to succeed, and a "can do" attitude. They will have knowledge of various carriers, the ability to help with quotes and proposals, new business, and renewals.Key...

  • Patient Registration Specialist

    2 weeks ago

    Rockford, Illinois, United States Mercyhealth Full time

    About the RoleMercyhealth is seeking a highly skilled and detail-oriented Patient Registration Specialist to join our team. As a Patient Registration Specialist, you will play a critical role in ensuring the smooth and efficient registration process for patients at our hospital locations.Key ResponsibilitiesRegister patients and obtain necessary demographic...

  • Accounts Receivable Specialist

    2 weeks ago

    Rockford, Michigan, United States ITW Automotive Full time

    Job DescriptionThe Accounts Receivable/Collection Specialist will report to the Accounting Manager and will be responsible for a wide variety of analytical and specialized Accounting administrative support including customer account maintenance, credit monitoring, customer billings, maintaining records & systems, and generating reports for accounting. In...

Patient Accounts Pre-Authorization Specialist

3 months ago

Rockford, United States Rockford Gastroenterology, Assc., LTD Full time
Job DescriptionJob DescriptionDescription:

Overall Summary:

RGA is seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. In this role, you will be responsible for obtaining prior authorizations from insurance companies for medical procedures, medications, and services to ensure timely and accurate reimbursement for our patients.

Key Responsibilities:


o Prior Authorization Process:


  • Review patient medical records and treatment plans to determine the need for prior authorizations.
  • Initiate and complete prior authorization requests with insurance companies via phone, online portals, and written correspondence.
  • Gather necessary documentation, such as medical reports, test results, and prescription details, to support authorization requests.


o Insurance Verification:


  • Verify patients' insurance coverage and benefits for specific procedures or services requiring prior authorization.
  • Communicate coverage details, copayments, deductibles, and out-of-pocket costs to patients and healthcare providers.


o Follow-up and Appeals:


  • Monitor the status of prior authorization requests and follow up with insurance companies as needed to expedite approvals.
  • Coordinate with healthcare providers to address any additional information or appeals required for denied authorizations.
  • Document all communication and actions related to prior authorizations in the electronic health records (EHR) system.


o Compliance and Documentation:


  • Ensure compliance with insurance guidelines, regulatory requirements, and billing policies during the prior authorization process.
  • Maintain accurate records of authorization numbers, approval dates, and authorization periods for billing and reimbursement purposes.
  • Assist with coding and billing tasks related to authorized services and procedures.

Other Duties assigned by Manager

Requirements:

Qualifications:


  • High school diploma or equivalent; associate or bachelor's degree in healthcare administration or related field preferred.
  • Minimum of 2 years of prior authorization experience in a medical setting, preferably in a hospital or clinic.
  • Knowledge of medical terminology, CPT/HCPCS codes, and insurance billing procedures.
  • Familiarity with electronic health records (EHR) systems and insurance verification tools.
  • Strong communication skills with the ability to interact professionally with patients, healthcare providers, and insurance representatives.
  • Excellent organizational skills and attention to detail to ensure accuracy in documentation and follow-up.
  • Ability to prioritize tasks, work independently, and meet deadlines in a fast-paced environment.
  • Understanding of HIPAA regulations and patient confidentiality.


Key Competencies:


  • Problem-solving skills to identify root causes of claim denials.
  • Ability to prioritize tasks and manage multiple appeals simultaneously.
  • Team player with a collaborative approach to work.
  • Adaptability to changing insurance policies and billing requirements.
  • Strong organizational skills to maintain detailed appeal records.