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Insurance Specialist

2 months ago

Champaign, United States Christie Clinic Full time

Christie Clinic's department of Internal Medicine is seeking a full-time Insurance Specialist from Monday-Friday 8:00am - 5:00pm at the Windsor Clinic in Champaign.

Duties include obtaining authorizations and any predeterminations for all Radiology/Laboratory exams and any outgoing referrals in accordance with established rules and procedures.

TYPICAL PHYSICAL DEMANDS:

Demands include sitting for prolonged periods of time. Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity for the operation of office equipment is required.

TYPICAL WORKING CONDITIONS:

Work is performed in a clinical setting and involves contact with insurance carriers, radiology personnel, and various clinical team members. Requirements may include working irregular hours.

JOB DUTIES: (This list may not include all of the duties assigned.)

  • Obtaining all authorizations for all required imaging exams, labs and/or referrals through online insurance sites and through phone calls.
  • Updating insurance information, authorization status, and any other pertinent information.
  • Correspondence concerning insurance status or retro authorizations with appropriate personnel.
  • Check Inbasket regularly for authorization requests or follow up questions from referring offices.
  • Provide insurance guidance to team members or providers. Demonstrate understanding of insurance requirements.
  • Attend Christie Clinic sponsored classes for changes to insurance requirements in the electronic medical record and individual carrier updates.
  • Act as a liaison between Internal Medicine and other Christie Clinic departments in order to refer patients to specialized providers for internal and external referrals.
  • Schedule tests, labs, appointments, etc.
  • Attend and participate in daily, weekly, monthly department huddles.
  • Maintain Internal Medicine scheduler work list by effectively prioritizing both current and follow up patients.
  • Maintain an organized work area. (Filing patient orders, routers, etc.)
  • Perform related work as required.


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)