Top 41 Hospital Jobs in Decatur, Il

Registration Representative/Preauthorization Representative
Memorial Health —Decatur, IL
- $16.00 - $23.64 an hour
- Overtime
- Microsoft Excel
- Office
- High school diploma or GED
13d
Logistic Technician
Memorial Health —Decatur, IL
- $16.00 - $23.64 an hour
- Full-time
- Hospital
- Computer literacy
- Inpatient
Patient Svc Representative - KMG Cerro Gordo
Kirby Medical Center —Cerro Gordo, IL
- $16.05 - $18.43 an hour
- Full-time
- High school diploma or GED
- Clinic
- Computer skills
- Wellness program
- Health insurance
Quick Apply
Security Officer
Memorial Health —Decatur, IL
- $17.14 - $26.56 an hour
- Full-time
- Hospital
- Ability to walk for extended periods
- 5 years
Case Manager
Memorial Health —Decatur, IL
- $25.72 - $39.86 an hour
- Full-time
- Hospital
- Mid-level
- Bachelor's degree
Director, Laboratory
Memorial Health System —Decatur, IL
- $51.87 - $82.99 an hour
- Full-time
- Customer service
- 5 years
- Master's degree
- Health savings account
- Health insurance
Quick Apply
1d
Certified Surgical Technologist, OR Surgery - $20K Sign on Bonus Opportunity
Memorial Health —Decatur, IL
- $27.52 - $42.65 an hour
- Full-time
- Anatomy knowledge
- Surgery
- Ability to walk for extended periods
Dietary Manager
Long-Term and Rehab Care Center in Decatur —Decatur, IL
- $20 - $25 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- Dental insurance
Quick Apply
8d
Medical Assistant (Credentialed/Certified) - Decatur (4678)
SIU Medicine —Decatur, IL
- $17.82 - $19.60 an hour
- Day shift
- Adults
- HIPAA
- High school diploma or GED
- Paid holidays
- Disability insurance
Advanced Provider - Hospital Medicine - Full-Time and Part-Time - New Grads Welcome! - HSHS St. Mary's Hospital
Vituity —Decatur, IL
- $65 - $80 an hour
- Full-time
- Hospital
- Inpatient
- Children
- Travel reimbursement
- Profit sharing
Nurse Manager, Family Birth Center/Pediatrics
Memorial Health —Decatur, IL
- $47.65 - $73.86 an hour
- Full-time
- Nursing
- RN License
- Hospital
Physical Therapist - Outpatient
HSHS St. Mary's Hospital, Decatur —Decatur, IL
- $37.71 - $56.57 an hour
- 8 hour shift
- Doctoral degree
- Hospital
- BLS Certification
- Wellness program
- Disability insurance
8d
Chief Medical Officer, Mount Auburn Hospital
Harvard Medical Faculty Physicians —Mount Auburn, IL
- $412,600 - $473,400 a year
- Full-time
- Acute care
- Medicine
- 5 years
- Disability insurance
- Dental insurance
Physical Therapist (PT) - Inpatient/Outpatient Rehab - PRN
HSHS St. Mary's Hospital, Decatur —Decatur, IL
- $39.60 - $59.40 an hour
- 8 hour shift
- Doctoral degree
- Hospital
- BLS Certification
- Wellness program
- Disability insurance
Nurse Supervisor
Cancer Care Specialists of Illinois —Decatur, IL
- $40 - $41 an hour
- CPR Certification
- Nursing
- RN License
- Profit sharing
- Health savings account
Quick Apply
6d
Mental Health Therapist (LCSW, LCPC, PsyD, LMFT)
Vitae Health Systems —Clinton, IL
- $70,000 - $90,000 a year
- Full-time
- LMFT
- Skilled nursing facility
- Psychiatry
- Continuing education credits
- Paid holidays
Quick Apply
Nurse Practitioner (Skilled-Nursing, Full-time)
Vitae Health Systems —Mount Zion, IL
- $110,000 - $130,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- Psychiatry
- Continuing education credits
- Health insurance
Quick Apply
Physical Therapist Assistant (PTA) - Inpatient/Acute Care
HSHS St. Mary's Hospital, Decatur —Decatur, IL
- $24.31 - $36.47 an hour
- 8 hour shift
- Acute care
- Hospital
- BLS Certification
- Wellness program
- Disability insurance
Physical Therapist Assistant (PTA) - Inpatient/Outpatient Rehab - PRN
HSHS St. Mary's Hospital, Decatur —Decatur, IL
- $25.53 - $38.29 an hour
- 8 hour shift
- Hospital
- BLS Certification
- Physical & Rehabilitation Medicine
- Wellness program
- Disability insurance
Lead CT Technologist - New Hampshire Hospital
Fulton Recruiting —United States
- $70,000 - $107,000 a year
- Full-time
- Hospital
- Mid-level
- US work authorization
- Health insurance
- Paid time off
Quick Apply
5d

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hospital jobs near decatur, il

Registration Representative/Preauthorization Representative

Memorial Health -
Decatur, IL

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Job Details

Full-time
$16.00 - $23.64 an hour
13 days ago

Qualifications

Microsoft Excel
High school diploma or GED
Productivity software
Clinical confidentiality policies
Technical Proficiency

Full Job Description

Min: USD $16.00/Hr. Max: USD $23.64/Hr. Overview:

The Registration Representative/Preauthorization Representative is responsible for reviewing all DMH and Memorial Care scheduled inpatient and outpatient procedures, as well as outpatient diagnostic services. The goal is to ensure that each scheduled service meets all required insurance and clinical documentation standards prior to the service date.

Key Responsibilities:

Authorization Verification:
Review scheduled procedures and diagnostic services to confirm appropriate payor authorization is obtained and that the service aligns with the payor’s medical policies.
Documentation Review:
Validate the presence of a valid physician order and ensure all necessary clinical documentation requirements are met.
Referral Coordination:
Coordinate physician referrals for additional services, when deemed appropriate, to support patient care and continuity.
Scheduling Support:
Schedule and coordinate services as ordered by physicians, ensuring preauthorization is completed where required.

Skills & Qualifications:

Knowledge of medical terminology, insurance preauthorization processes, and payor requirements.
Ability to interpret and verify clinical documentation.
Strong organizational and communication skills.
Experience with electronic health records (EHR) and scheduling systems preferred.

Qualifications:

Education and Experience Requirements:

High school diploma or GED required.
Previous experience in customer service required.
Knowledge of medical service coding preferred.
Familiarity with medical terminology or willingness to learn.

Environmental Factors:

Work is performed in a standard office environment with minimal exposure to unpleasant, irritating, or hazardous conditions.

Physical Demands:

Regularly required to sit, stand, and move through an office environment.
The physical demands described here are representative of those that must be met to successfully perform the essential functions of the job.

Mental Demands:

Must be able to work under stress and adapt to changing conditions.
Must meet strict time deadlines and work efficiently under pressure.
Ability to maintain strict confidentiality is essential.

Core Competencies and Skill Requirements:

Communication & Interpersonal Skills:

Demonstrates excellent verbal and written communication skills.
Maintains strong interpersonal relationships with coworkers, patients, and providers.
Uses appropriate communication methods for different situations.

Organization & Attention to Detail:

Able to organize work independently and manage time effectively.
Strong attention to detail and accuracy is essential.

Technical Skills:

Above average computer skills, including proficiency in Microsoft Word, Excel, and scheduling or preauthorization software applications.

General Skill Requirements:

Adaptability:
Adjusts well to change; handles competing demands and shifting priorities with professionalism; works under irregular schedules and occasional unscheduled overtime.
Attendance & Punctuality:
Arrives to work and appointments on time; keeps absences within acceptable guidelines; ensures responsibilities are covered during absences.
Cooperation & Teamwork:
Works well with others; maintains a positive attitude; demonstrates tact and consideration; assists coworkers as needed.
Job Knowledge:
Competent in job-specific knowledge; keeps current with industry developments; requires minimal supervision.
Judgment & Decision-Making:
Makes sound decisions in a timely manner; involves appropriate individuals in the decision-making process; respects confidentiality at all times.
Problem Solving:
Identifies issues proactively; analyzes situations; develops and implements effective solutions; collaborates in group problem-solving.
Quality & Productivity:
Demonstrates a commitment to accuracy and excellence; seeks feedback to improve performance; meets or exceeds productivity goals.
Concentration:
Maintains focus and accuracy for extended periods; stays alert to changing conditions or variations.
Supervision:
Capable of working independently or with minimal supervision; may train or review the work of others as necessary.

Responsibilities:

Understands and applies payor-specific prior authorization requirements, staying up to date with policy and procedural changes from insurance providers.
Serves as a liaison between hospital staff and physician offices, ensuring accurate communication of outpatient diagnostic service needs and referral information.
Acts as a key contact for Utilization Review and Patient Financial Services, offering accurate and timely information as needed.
Receives and coordinates pre-authorizations (including RQIs) for all outpatient services and schedules inpatient admissions as required.
Coordinates physician referrals on appropriate patient accounts, ensuring additional services are authorized and scheduled as needed.
Schedules, coordinates, and pre-authorizes all necessary services as ordered by physicians.
Manages incoming phone calls professionally and efficiently to support departmental objectives and customer service expectations.
Prioritizes scheduled patients in compliance with managed care preauthorization requirements and medical necessity protocols.
Accurately documents all relevant case information using the account note function, including:
- Telephone conversations
- Consultations
- Authorization details
- Reference numbers
- Case rationale
Maintains a high level of customer service by following internal quality standards and confidentiality policies.
Communicates regularly with case managers, physician offices, and nurses to secure necessary approvals and updates on patient accounts.
Maintains accurate and current records of insurance and pre-authorization details.
Identifies and communicates barriers to service or process improvement opportunities to management.
Assists in the training of new personnel and supports implementation of new workflows or procedures.
Performs other duties as assigned, contributing to the success and adaptability of the department.

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Refine Your Search

hospital jobs in decatur, il

Registration Representative/Preauthorization Representative

Logistic Technician

Patient Svc Representative - KMG Cerro Gordo

Security Officer

Case Manager

Director, Laboratory

Certified Surgical Technologist, OR Surgery - $20K Sign on Bonus Opportunity

Dietary Manager

Medical Assistant (Credentialed/Certified) - Decatur (4678)

Advanced Provider - Hospital Medicine - Full-Time and Part-Time - New Grads Welcome! - HSHS St. Mary's Hospital

Nurse Manager, Family Birth Center/Pediatrics

Physical Therapist - Outpatient

Chief Medical Officer, Mount Auburn Hospital

Physical Therapist (PT) - Inpatient/Outpatient Rehab - PRN

Nurse Supervisor

Mental Health Therapist (LCSW, LCPC, PsyD, LMFT)

Nurse Practitioner (Skilled-Nursing, Full-time)

Physical Therapist Assistant (PTA) - Inpatient/Acute Care

Physical Therapist Assistant (PTA) - Inpatient/Outpatient Rehab - PRN

Lead CT Technologist - New Hampshire Hospital