Insurance Authorization Specialist Per Diem
4 days ago
We are seeking a highly skilled Insurance Authorization Specialist Per Diem to join our team at NorthShore University HealthSystem. As a key member of our Patient Access department, you will play a critical role in ensuring that our patients receive high-quality care while also optimizing hospital and Medical Group revenue.
Key Responsibilities- Verify patient eligibility and benefits for managed care, governmental, and commercial payers
- Perform online eligibility and benefit checks using NorthShore protocol
- Enter data accurately into Epic in accordance with standards
- Call insurance companies directly to obtain required eligibility and benefit information
- Process accounts according to performance standards - timing, volume, and quality
- Utilize established protocols to register patients and provide instructions
- Access Medicare LMRP software to determine if ABN is required
- Ascertain medical necessity requirements for visits using NEBO Eligibility Software
- High School diploma required
- 1 year of experience in a contact center, healthcare environment, or customer service role
- Experience with referrals and pre-certification strongly preferred
- Strong attention to detail and ability to utilize multiple computer applications
- Knowledge of medical terminology and health insurance terminology, preferred
We offer a comprehensive benefits package, including career pathways for professional growth and development, various medical, dental, and vision options, tuition reimbursement, free parking, and more.
At NorthShore University HealthSystem, we are committed to delivering transformative patient experiences and expert care close to home. Join our team and be part of an organization that values diversity, equity, and inclusion.
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