We have other current jobs related to this field that you can find below
-
Overnight CT Imaging Specialist
2 days ago
Peoria, Illinois, United States FlexCare Imaging Full timePosition Overview: FlexCare Imaging is currently in search of a traveling CT Imaging Specialist to join our dedicated team. Field: Allied Health Professional ~ Shift Duration: 12 hours, overnight Employment Type: Travel The compensation package is structured around 12-hour shifts, totaling 36 hours per week (subject to confirmation), with a tax-free stipend...
-
Hearing Care Specialist
2 days ago
Peoria, Illinois, United States Audicus Full timeJob OverviewAbout UsAudicus is a pioneering health technology organization located in New York City, dedicated to revolutionizing the hearing aid sector through an advanced telehealth platform. Our solution enhances the hearing care journey from initial assessments to product delivery, benefiting both users and healthcare providers. We are committed to our...
-
Store Customer Service Specialist
3 weeks ago
Peoria, United States The Sherwin-Williams Company Full timeThis position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure...
-
Substance Use Recovery Specialist
3 days ago
Peoria, Illinois, United States Carle Health Full timePosition Overview:The Substance Use Recovery Specialist is a certified peer recovery professional dedicated to assisting individuals in accessing evidence-based interventions for substance use challenges. This role emphasizes low-barrier access to medication-assisted recovery (MAR), treatment initiatives, and harm-reduction strategies, particularly for those...
-
Bilingual Customer Service Specialist
3 weeks ago
Peoria, United States The Sherwin-Williams Company Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Bilingual Customer Service Specialist
2 days ago
Peoria, United States The Sherwin-Williams Company Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Midday Animal Care Specialist
2 days ago
Peoria, Illinois, United States Paws at Home Pet Care, LLC Full timePosition OverviewPaws at Home Pet Care, LLC is seeking a dedicated animal care specialist to join our expanding team, with the potential to earn up to $1,500 monthly while providing love and care to pets.What We Offer:Comprehensive training and career advancement opportunities in the pet care industryCertification in pet first aid and CPREndless puppy...
-
Aviation Ground Support Specialists
3 days ago
Peoria, Illinois, United States Byerly Aviation Inc Full timeJoin Byerly Aviation as Full-Time Aviation Ground Support Specialists Applicants must hold a valid driver's license, comply with mandatory drug and alcohol testing, and pass an airport security background check. Key Responsibilities of Aviation Ground Support Specialists Fuel and defuel a variety of aircraft including general aviation, charter, cargo,...
-
CNC Machining Specialist
2 days ago
Peoria, Illinois, United States ITC, Inc. Full timePosition OverviewITC, Inc. is seeking a skilled CNC Machining Specialist to join our dynamic team.ROLE RESPONSIBILITIESDevelop and refine CNC programming, ensuring precision and efficiency in manufacturing processes.Offer programming assistance during the validation of parts, making necessary adjustments to enhance performance.Document and update...
-
Residential Cleaning Specialist
2 days ago
Peoria, Illinois, United States Molly Maid Full timePosition Overview:We are seeking dedicated individuals for a full-time role in residential cleaning. This position offers a structured schedule with no night shifts, weekends, or holiday work.Compensation:The pay range for this role is between $14 and $24 per hour, allowing for weekly earnings of $550 to $850, paid on a weekly basis.What We Offer:A...
-
Safety and Security Specialist
2 days ago
Peoria, Illinois, United States Carle Health Full timePosition Overview:Join our dedicated team at Carle Health as we seek committed Safety and Security Specialists to enhance the safety protocols within our innovative healthcare environment. In this essential role, you will be responsible for safeguarding the well-being of our patients, visitors, and staff. Your contributions will be vital in ensuring the...
-
Vehicle Cleaning Specialist
2 days ago
Peoria, Illinois, United States Enterprise Mobility Full timePosition OverviewEnterprise Mobility is in search of a diligent and responsible individual to join our team as a part-time Vehicle Cleaning Specialist.This role offers a competitive hourly wage and is part of our commitment to providing exceptional service in the automotive rental industry.What We Provide:- Paid time off- Employee discounts- Retirement...
-
Safety and Security Specialist
2 days ago
Peoria, Illinois, United States Carle Health Full timePosition Overview: Join our dedicated team at Carle Health as a Safety and Security Specialist. In this essential role, you will be responsible for ensuring the safety and well-being of our patients, visitors, and staff within our innovative healthcare environment. Your contributions will be vital in safeguarding the property and maintaining a secure...
-
Experience Specialist- CMH Gastro
2 months ago
Peoria, United States The Carle Foundation Full timeCheck out this job opening for Carle Providers: Experience Specialist- CMH Gastro Check out this job opening for Carle Providers: Experience Specialist- CMH Gastro Job Description Job Description JOB SUMMARY: Experience Specialists plays a vital role in the experience of our patients, families and visitors. As a central point of contact, they create...
-
Army Reserves
2 weeks ago
Peoria, United States U.S. Army Recruiting Battalion Part timeWork one weekend a month, two weeks a year over the summer in the Army Reserves. The 724th Transportation Company Peoria, Illinois has multiple vacancies for an entry level Chemical, Biological, Radiological, and Nuclear (CBRN) Specialist. You do not require prior training or experience in this career field in order to qualify for this position. If you...
-
Community Outreach Specialist
2 days ago
Peoria, Illinois, United States Carle Health Full timePosition Overview:As a Community Outreach Specialist, your primary responsibility will be to foster awareness among community members and employees about the significance of Naloxone. This role is essential in enhancing understanding and promoting educational initiatives regarding Naloxone. You will also support the distribution of Naloxone, engage in...
-
Vascular Imaging Specialist
2 days ago
Peoria, Illinois, United States Carle Health Full timePosition Overview:Special Summer Incentive - External Only $10,000 SIGN ON BONUS FREE HEALTH INSURANCE FOR THE REMAINDER OF THE YEARAs a Vascular Imaging Specialist, you will conduct diagnostic examinations of patients utilizing a comprehensive approach, adhering to quality control standards while maintaining professionalism and courtesy. This role involves...
-
Experience Specialist- CMH Gastro
1 month ago
Peoria, United States Carle Health Full timePosition Summary: Experience Specialists plays a vital role in the experience of our patients, families and visitors. As a central point of contact, they create meaningful first and lasting impressions and serve as a liaison between patients/families/visitors and members of the health care team to address questions, provide non-medical information and to...
-
Bilingual Customer Service Specialist
3 weeks ago
Peoria, United States Sherwin-Williams Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Bilingual Customer Service Specialist
4 days ago
Peoria, United States Sherwin-Williams Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
Authorization Specialist
2 months ago
Job Description
Eligibility and Authorization Specialist
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 responsible for processing the financial clearance of each patient and ensuring successful payment of services rendered.
Reports To: Eligibility and Authorization Specialist Coordinator
Principal Duties and 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.
-
Develops and maintains effective relationships with the patients ensuring all patient demographic and insurance information is obtained and current.
-
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.
-
Proactively identifies and leads department process improvement opportunities.
Required Skills, Knowledge, and Abilities:
-
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.
-
Establish and maintain effective working relationships with patients, insurance companies, and staff.
-
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.
-
Knowledge of organizational policies, procedures, and systems.
-
Ability to document electronically and accurately.
-
Use appropriate guidelines for releasing information.
Education
High school diploma or equivalent
Experience
- 2 years of experience performing insurance verification or working with medical insurance programs.
- Experience with eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.