Current jobs related to Medical Prior Authorization Specialist - Hinsdale - AFC URGENT CARE

  • Patient Access Specialist

    1 week ago

    Hinsdale, Illinois, United States AdventHealth Full time

    Job SummaryWe are seeking a highly skilled Patient Access Specialist to join our team at AdventHealth. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive high-quality care by accurately registering patients for all services, verifying insurance eligibility, and obtaining pre-authorizations.Key...

  • Patient Access Specialist

    1 week ago

    Hinsdale, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    About the RoleWe are seeking a highly skilled Patient Access Specialist to join our team at UChicago Medicine AdventHealth Great Lakes. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive high-quality care by accurately registering and verifying patient information.Key ResponsibilitiesRegistration and Verification:...

  • Patient Access Specialist

    1 week ago

    Hinsdale, Illinois, United States MedSocieties Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at MedSocieties. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate registration for all services.Key ResponsibilitiesVerify patient eligibility and obtain pre-authorizations from...

  • Medical Support Specialist

    2 weeks ago

    Hinsdale, Illinois, United States Duly Health and Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at Duly Health and Care. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our patients and healthcare professionals.Key ResponsibilitiesRegistration and Scheduling: Greet patients,...

  • Patient Access Specialist

    6 days ago

    Hinsdale, Illinois, United States AdventHealth Full time

    About the RoleWe are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at AdventHealth. As a key member of our patient access department, you will play a critical role in ensuring that patients receive timely and accurate registration and billing services.Key ResponsibilitiesRegister patients for all services, including...

  • Medical Support Specialist

    2 weeks ago

    Hinsdale, Illinois, United States Duly Health and Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at Duly Health and Care. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our patients and healthcare providers.Key ResponsibilitiesRegistration and Scheduling: Greet patients,...

  • Patient Access Specialist

    1 day ago

    Hinsdale, Illinois, United States AdventHealth Full time

    About the RoleWe are seeking a highly skilled Patient Access Specialist to join our team at AdventHealth. As a key member of our patient financial services team, you will play a critical role in ensuring that patients receive the care they need while also navigating the complexities of healthcare billing and insurance.Key ResponsibilitiesRegister patients...

  • Medical Support Specialist

    7 days ago

    Hinsdale, Illinois, United States Duly Health and Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at Duly Health and Care. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support to our patients and healthcare professionals.Key ResponsibilitiesRegistration and Scheduling: Greet patients,...

  • Consumer Access Specialist

    1 month ago

    Hinsdale, United States AdventHealth Full time

    YOU ARE REQUIRED TO UPLOAD RESUME, LICENSURE/CERTIFICATION WITH YOUR APPLICATION! All the benefits and perks you need for you and your family: Benefits from Day One for FT/PT positions Paid Days Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health Resources...

  • Consumer Access Specialist

    2 months ago

    Hinsdale, United States AdventHealth Full time

    **YOU ARE REQUIRED TO UPLOAD RESUME, LICENSURE/CERTIFICATION WITH YOUR APPLICATION!** **All the benefits and perks you need for you and your family:** + Benefits from Day One for FT/PT positions + Paid Days Off from Day One for FT/PT positions + Student Loan Repayment Program for FT/PT positions + Career Development + Whole Person Wellbeing Resources +...

  • Consumer Access Specialist

    1 week ago

    Hinsdale, United States UChicago Medicine AdventHealth Great Lakes Full time

    All the benefits and perks you need for you and your family: Benefits from Day One for FT/PT positions Paid Days Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Debt-free Education (Certifications and Degrees without out-of-pocket...

  • Consumer Access Specialist

    1 week ago

    Hinsdale, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: Benefits from Day One for FT/PT positions Paid Days Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Debt-free Education (Certifications and Degrees without...

  • Traveling Medical Imaging Specialist

    2 weeks ago

    Hinsdale, United States Titan Medical Full time

    Job SummaryWe are seeking a skilled and experienced CT Technologist to join our team at Titan Medical. As a key member of our healthcare team, you will be responsible for operating CT scanners and providing high-quality imaging services to patients.Key ResponsibilitiesOperate CT scanners to produce high-quality images of patientsPrepare patients for imaging...

  • UCM Care Network Medical Professional

    1 day ago

    Hinsdale, Illinois, United States The University of Chicago Medicine Full time

    Job Opportunity at UChicago MedicineUChicago Medicine is seeking a talented medical professional to join our team at the Hinsdale clinic. As a member of our academic healthcare system, you will have access to a world-class network of physicians and specialists.We are actively hiring for various positions, including Registered Nurses, Medical Assistants,...

  • Consumer Access Specialist

    1 week ago

    Hinsdale, United States MedSocieties.com Full time

    All the benefits and perks you need for you and your family: Benefits from Day One for FT/PT positions Paid Days Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Debt-free Education (Certifications and Degrees without...

  • Respiratory Care Specialist

    1 week ago

    Hinsdale, Illinois, United States Advocate Aurora Health Full time

    Job SummaryAdvocate Aurora Health is seeking a skilled Respiratory Care Specialist to join our team. As a Respiratory Care Specialist, you will be responsible for providing comprehensive respiratory care to patients, including administering respiratory therapy procedures and modalities in accordance with established standards, policies, and procedures.Key...

  • Medical Support Specialist

    1 week ago

    Hinsdale, Illinois, United States Duly Health and Care Full time

    About the RoleWe are seeking a highly skilled and compassionate Medical Assistant to join our team at Duly Health and Care. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare professionals in delivering high-quality services.Key ResponsibilitiesGreet patients and assist with registration,...

  • Healthcare Registration Specialist

    3 weeks ago

    Hinsdale, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    Application Requirements: Please ensure to upload your resume along with any relevant licensure or certification when submitting your application.Comprehensive Benefits: Enjoy a range of benefits from the very first day of employment, whether you are in a full-time or part-time position. Benefits include:Immediate access to benefitsPaid time off from the...

  • Consumer Services Representative

    3 weeks ago

    Hinsdale, Illinois, United States UChicago Medicine AdventHealth Great Lakes Full time

    Join Our Team as a Consumer Access SpecialistApplication Requirements: Please ensure to upload your resume and any relevant licensure or certification with your application.Benefits and Perks:Comprehensive benefits from day one for both full-time and part-time positionsPaid time off available from the start for full-time and part-time rolesStudent loan...

  • Patient Care Specialist Pain Management

    2 days ago

    Hinsdale, United States AdventHealth Full time

    About the RoleWe are seeking a skilled Patient Care Specialist to join our team at AdventHealth Hinsdale. As a key member of our pain management team, you will play a vital role in providing exceptional patient care and support.ResponsibilitiesPerform basic and advanced clinical and non-clinical patient care activities as delegated by supervising nurse in...

Medical Prior Authorization Specialist

4 months ago

Hinsdale, United States AFC URGENT CARE Full time
Company Overview: 
 
Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions.  We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time Prior Authorization Specialist with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR – based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. 
 
Position Highlights:
 The Prior Authorization Specialist is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all payers. In addition, the Prior Authorization Specialist may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.
 
 Position Responsibilities:
 - Reviews, collects and properly records demographic and insurance information required to properly address the customers' authorization requirements and identify any financial issues. Verifies patient's eligibility from resources provided by third party payers and portals and other on lines services.

 -Collects and analyzes demographic, insurance and other information from the patient, guarantor and all other sources to accurately obtain authorization for scheduled procedure.

 -Assembles information concerning the patient's clinical background and clinical information that is required for the payer to issue a referral or an authorization. Per referral guidelines, provide appropriate clinical information to the payer.
 
-Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, CPT codes and clinical notes. 
 
-Performs registration functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy.
 
-Consistently maintains authorization accuracy rates at and or above department standard in performance of registration and authorization duties.
 
- Able to find resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
 
- Receives and properly responds to, or directs telephone and electronic inquiries from patients, payers, physicians and their staff, internal department and other persons and entities. 
 
-Ability to exercise good customer service skills when communicating with both our patients as well as our internal customers. 
 
-Able to find resolution within the phone interaction satisfactory to the caller and/or having the knowledge when to escalate to their supervisor.
 
-Performs other duties as assigned for the operational effectiveness and success of the department.
 
 Required Job Qualifications:
 - High school graduate or equivalent.
 - 1 year of experience
 - Excellent communication and outstanding customer service and listing skills.
 - Basic keyboarding skills
 - Ability to analyze and interpret data
 - Critical thinking, sound judgment and strong problem-solving skills essential
 - Team oriented, open minded, flexible, and willing to learn
 - Strong attention to detail and accuracy required
 - Ability to prioritize and function effectively, efficiently, and accurately in a multi-tasking complex, fast paced and challenging department.
 - Ability to follow oral and written instructions and established procedures
 - Ability to function independently and manage own time and work tasks
 - Ability to maintain accuracy and consistency
 - Ability to maintain confidentiality
- Experience in Pain Specialty is Preferred