Pre-Authorization Representative
4 weeks ago
At CHI Memorial Medical Group, we are seeking a skilled Pre-Authorization Representative to join our team. As a key member of our office management services, you will play a vital role in identifying and verifying patient eligibility and benefits information for their visits.
Responsibilities
• Enter and maintain accurate insurance data in our computer system.
• Obtain necessary referral numbers for HMO and PPO plans.
• Process benefit correspondence and coordinate record requirements with office managers as dictated by third-party payers.
• Initiate pre-certification for patients when required, obtaining precertification reference numbers and utilization review company contact information.
• Maintain patient and associate confidentiality and perform other duties as assigned.
Requirements
• High school education or equivalent required.
• Six months to one year of insurance or related work experience preferred.
• Six months to one year of experience in a medical office preferred.
What We Offer
We care about our employees' well-being and offer benefits that complement work-life balance, including free membership to our Care@Work program, employee assistance program, health, dental, and vision insurance, flexible spending accounts, and more.
At CHI Memorial Medical Group, we are committed to providing exceptional patient care and a supportive work environment. If you are passionate about the patient experience and ready to join our team, we encourage you to apply today.
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