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Pre-Authorization - Medical Forms Rep

2 months ago


Warrenville, United States Northshore Full time
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