Eligibility and Authorization Specialist

2 weeks ago

Peoria, United States NRGUSA Full time
Job DescriptionJob DescriptionNRGUSA is seeking an Eligibility and Authorization Specialist to contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identifies outstanding patient financial responsibility by creating financial estimates and notifying patients. This position is responsible for processing the financial clearance of each patient and ensuring successful payment of services rendered.
Schedule - Monday- Friday 8am-5pmLocation - Peoria, AZPay Rate- $19-$21ph
Responsibilities
  • Responsible for effective and efficient verification and authorizations of all patients’ benefits.
  • Utilization of electronic verification/eligibility technology or contacting insurance companies to verify and/or obtain patient eligibility and benefits.
  • Verify existing patient insurance coverage and update the information in the practice management software system.
  • Responsible for obtaining all referrals and authorizations for procedures and services, as required.
  • Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
  • Address rejected claims related to patient eligibility, authorization, or demographics.
  • Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
  • Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
  • Maintain up-to-date knowledge of specific clinical services, registration, and pre-registration requirements for all departments.
  • Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA.
  • Maintain patient and company confidentiality.
  • Other duties as assigned by the Eligibility & Authorization Specialist Coordinator and Revenue Cycle Manager.
Experience
  • High school diploma or equivalent
  • 2 years of experience performing insurance verification or working with medical insurance programs.
  • Excellent organizational skills and the ability to multi-task.
  • Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
  • Strong written and oral communication skills.
  • Knowledge and skills in working with computerized billing systems including practice management software and EMR.
  • Must adhere to all HIPAA guidelines and regulations.
  • Knowledge of medical insurance and authorization processes
  • Knowledge of medical terminology and experience working in a healthcare or insurance environment.

  • Eligibility and Authorization Specialist

    7 days ago

    Peoria, United States Arizona Asthma And Allergy Institute Full time

    Position Summary The primary function of the Eligibility and Authorization Specialist is to contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identifies outstanding patient financial responsibility by creating financial estimates and notifying patients. This position is...

  • Eligibility and Authorization Specialist

    1 week ago

    Peoria, United States Arizona Asthma And Allergy Institute Full time

    Position Summary The primary function of the Eligibility and Authorization Specialist is to contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identifies outstanding patient financial responsibility by creating financial estimates and notifying patients. This position is...

  • Eligibility and Authorization Specialist

    2 weeks ago

    Peoria, United States Professional Partners Group Full time

    Job DescriptionJob DescriptionEligibility and Authorization SpecialistPosition Summary:The primary function of the Eligibility and Authorization Specialist is to contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identifies outstanding patient financial responsibility by creating...

  • Patient Access Supervisor

    2 weeks ago

    Peoria, United States Professional Partners Group Full time

    Job DescriptionJob DescriptionPosition SummaryThe primary function of the Patient Access Supervisor is to coordinate and manage patient access, including managing: Patient Scheduling Department and Eligibility & Authorization Department including but not limited to: overseeing scheduling appointments, verifying insurance coverage, eligibility authorization,...

  • Medicaid Application Specialist

    5 days ago

    Peoria, United States Trillium Staffing Full time

    Medical office openings in Peoria, IL! Full benefits and PTO offered upon company hire! Competitive pay rates based on your level of experience! Explore a new employment opportunity with a company that offers career advancement! Trillium Staffing is hiring Medicaid Application Specialists. Application Specialists are responsible for the oversight and...

  • Precertification Specialist

    2 weeks ago

    Peoria, United States Illinois Cancercare Full time

    Illinois CancerCare is seeking a full-time Precertification Specialist to work collaboratively with physicians and staff to ensure all precertification requirements are met prior to date of service. Responsibilities include answering calls regarding insurance precertification inquiries, verifying patient eligibility and pre-certification requirements through...

  • Precertification Specialist

    3 weeks ago

    Peoria, United States Illinois Cancercare Full time

    Job DescriptionJob DescriptionIllinois CancerCare is seeking a full-time Precertification Specialist to work collaboratively with physicians and staff to ensure all precertification requirements are met prior to date of service. Responsibilities include answering calls regarding insurance precertification inquiries, verifying patient eligibility and...

  • Security Guard

    5 days ago

    Peoria, United States Phillips and Company Secu Full time

    Overview: **Responsibilities**: - Patrol designated areas to ensure the security of premises, property, and personnel - Monitor surveillance equipment and alarms - Respond to emergencies and security incidents - Enforce rules, regulations, and policies to prevent violations - Conduct security checks and inspections - Report any suspicious activities or...

  • Security Officer Peoria Ill

    4 weeks ago

    Peoria, United States Gamma Team Security Inc Full time

    **Benefits/Perks** - Career Advancement Opportunities - Competitive Compensation - Flexible Schedule **Job Summary** **Responsibilities** - Patrol the premises and maintain a high level of visibility - Monitor entrances and exits to ensure only authorized personnel access the facility - Remove trespassers when necessary - Monitor surveillance cameras -...

  • Patient Access Specialist

    2 weeks ago

    Peoria, United States Springfield Clinic Full time

    The Patient Access Specialist (PAS) is the heart of the building, and the entry point in providing the welcoming experience for all guests and their families when they call and as they arrive and lead the Springfield Clinic signature experience to all with a no-job-too-small attitude. The PAS also communicates with various ancillary departments and Care...

  • Patient Access Specialist

    5 days ago

    Peoria, United States Springfield Clinic Full time

    The Patient Access Specialist (PAS) is the heart of the building, and the entry point in providing the welcoming experience for all guests and their families when they call and as they arrive and lead the Springfield Clinic signature experience to all with a no-job-too-small attitude. The PAS also communicates with various ancillary departments and Care...

  • Patient Access Specialist

    4 days ago

    Peoria, United States Springfield Clinic Full time

    The Patient Access Specialist (PAS) is the heart of the building, and the entry point in providing the welcoming experience for all guests and their families when they call and as they arrive and lead the Springfield Clinic signature experience to all with a no-job-too-small attitude. The PAS also communicates with various ancillary departments and Care...

  • Vascular Surgery Physician

    2 weeks ago

    Peoria, United States OSF Healthcare Full time

    Overview POSITION SUMMARY: * The OSF Surgical Group, seeks a BC/BE Vascular Surgeon in Peoria, Illinois. * The Vascular Surgeon will be working as part of a multi-disciplinary model with cardiologists, CV surgeons, other specialty surgeons, independent radiologists and other non-employed physicians. * Call of 1:4 is shared with employed vascular...

  • Donation Liaison

    2 days ago

    Peoria, United States Gift of Hope Full time

    Overview: Gift of Hope is proud to serve as the federally designated not-for-profit organ procurement organization (OPO) that coordinates organ and tissue donation and provides compassionate service to families of donors in the northern three-quarters of Illinois and northwest Indiana. Since our inception in 1986, we have coordinated donations that have...

  • Full Time Urology Physician

    3 weeks ago

    Peoria, United States Merritt, Hawkins & Associates Full time

    Job Description & RequirementsPediatric Urologist in IllinoisStartDate: ASAP OSF HealthCare Childrens Hospital of Illinois (CHOI), is seeking a new Chief of Pediatric Urology as well as an additional pediatric urologist faculty member for the Division of Pediatric Urology. The incoming Chief will have a tremendous opportunity to build upon an established and...

  • Full Time Urology Physician

    1 month ago

    Peoria, Illinois, United States Merritt, Hawkins & Associates Full time

    Job Description & RequirementsPediatric Urologist in IllinoisStartDate: ASAP OSF HealthCare Childrens Hospital of Illinois (CHOI), is seeking a new Chief of Pediatric Urology as well as an additional pediatric urologist faculty member for the Division of Pediatric Urology. The incoming Chief will have a tremendous opportunity to build upon an established and...

  • Dispensing Audiologist

    4 weeks ago

    Peoria, United States Costco Full time

    Audiologist / Licensed Hearing Instrument SpecialistStatus:Full-timeSalary/Wage: $35.30/hr - $35.90/hr + extra check eligible after meeting paid hour requirements Benefits: We offer a c

  • Non-Invasive Cardiology

    2 weeks ago

    Peoria, United States Integrity Healthcare Full time

    Details: Join an established cardiology practice that includes Heart Failure, Electrophysiology, Interventional, Invasive, and Non-Invasive Cardiology specialists Each physician has a dedicated RN and MOA and there are 12 Advanced Practice Providers that support the practice Assess, diagnosis and treat cardiac disease states in both an inpatient and...

  • Non-Invasive Cardiology

    4 days ago

    Peoria, United States Integrity Healthcare Full time

    Details: Join an established cardiology practice that includes Heart Failure, Electrophysiology, Interventional, Invasive, and Non-Invasive Cardiology specialists Each physician has a dedicated RN and MOA and there are 12 Advanced Practice Providers that support the practice Assess, diagnosis and treat cardiac disease states in both an inpatient and...

  • Cardiology Opening in Peoria, IL

    4 days ago

    Peoria, United States Summit Recruiting Group LLC Full time

    Cardiologist - Non Invasive opening in Peoria, IL - Centrally located to Chicago, St. Louis, and Indianapolis About the Job: - Full Time, Permanent- Join an established cardiology practice that includes Heart Failure, Electrophysiology, Interventional, Invasive, and Non-Invasive Cardiology specialists- Each Physician has an RN and MOA, with the opportunity...