Top 52 Prior authorization Jobs in O'fallon, Il

RCM/OPH Insurance Verification Specialist
Eye Care Partners Career Opportunities —Belleville, IL
- Evenings as needed
- Remote
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
4d
PATIENT ACCESS ASSOCIATE/EMERGENCY DEPT - PATIENT ACCESS - FT DAYS
ANDERSON HOSPITAL —Collinsville, IL
- $16.00 - $24.75 an hour
- Weekends as needed
- Customer service
- High school diploma or GED
- ER
Specialty Pharmacy Liaison Full Time
Optum —O'Fallon, IL
- $18 - $32 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
Quick Apply
10d
Insurance Authorization Senior Associate
BAYADA Home Health Care —St. Louis, MO
- $50,000 - $65,000 a year
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
3d
Prior Authorization Rep
BJC HealthCare —St. Louis, MO
- $17.75 - $25.56 an hour
- Full-time
- Customer service
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
PATIENT ACCESS ASSOCIATE/FLOAT - PATIENT ACCESS - FT VARIES
ANDERSON HOSPITAL —Collinsville, IL
- $16.00 - $24.75 an hour
- Full-time
- High school diploma or GED
- Ob/Gyn
- Organizational skills
Pre-Certification Coordinator II - Pediatric Endocrinology
Washington University in St. Louis —St. Louis, MO
- $23.63 - $35.49 an hour
- Online Application
- Pass drug screening
- HIPAA
- Office
- Commuter assistance
- Health insurance
Medical Scribe
Oak Street Health —East Saint Louis, IL
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scheduler
APG Network —Edwardsville, IL
- $34,000 - $41,500 a year
- Full-time
- Private practice
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
Patient Services Specialist - Orthopedic Clinic (F/T Days)
Mercy —St. Louis, MO
- Full-time
- Hospital
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
10d
Specialist Billing Projects (Hybrid) - Anesthesiology
Washington University in St. Louis —St. Louis, MO
- $49,700 - $82,100 a year
- Online Application
- Hybrid work
- Writing skills
- Pass drug screening
- HIPAA
- Commuter assistance
- Employee assistance program
Medical Assistant
So IL Health Care Foundation —Belleville, IL
- $16 - $24 an hour
- Full-time
- Computer literacy
- BLS Certification
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
3d
Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations
Washington University in St. Louis —St. Louis, MO
- $21.33 - $31.98 an hour
- Online Application
- Computer literacy
- Pass drug screening
- Mid-level
- Commuter assistance
- Employee assistance program
11d
UR Coordinator
Arch Vista —St. Louis, MO
- $15 - $22 an hour
- Psychiatry
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
10d
Medical Secretary III (Hybrid) - Endocrinology
Washington University in St. Louis —St. Louis, MO
- $19.29 - $29.91 an hour
- Online Application
- Hybrid work
- Pass drug screening
- Mid-level
- Outpatient experience
- Commuter assistance
- Employee assistance program
Clinical Appeals Spec.
BJC HealthCare —St. Louis, MO
- $18.85 - $31.30 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Disability insurance
- Health insurance
5d
Registered Medical Assistant
Metro East Healthcare Limited —Maryville, IL
- $14 - $20 an hour
- Email
- Vital signs
- Entry level
Quick Apply
Medical Receptionist - Urgent Care
Fast Track Urgent Care, LLC —St. Louis, MO
- $17 - $19 an hour
- Weekends as needed
- Bilingual
- Ability to walk for extended periods
- Urgent Care
Quick Apply
Patient Care Service Representative II
Modena Allergy + Asthma —St. Louis, MO
- Full-time
- CPR Certification
- Vital signs
- Ability to walk for extended periods
- Paid holidays
- Health insurance
Customer Service Representative
QUIPT HOME MEDICAL INC —St. Louis, MO
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply

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RCM/OPH Insurance Verification Specialist

Eye Care Partners Career Opportunities -
Belleville, IL

Quick Apply

Job Details

4 days ago

Qualifications

Data integrity assurance
Computer operation
Customer communication
Microsoft Outlook
Medical insurance coverage verification
Computer literacy
Spreadsheets
Writing skills
HIPAA
English
De-escalation techniques
Conflict de-escalation
High school diploma or GED
Health information regulatory compliance
Clinical confidentiality policies
Grammar Experience

Full Job Description

EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

Job Title: Insurance Verification Specialist

Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA

Job Summary

As a member of the Revenue Cycle Management Team, the Insurance Verification Specialist is responsible for all aspects of insurance verification. This position will complete pre-registration processes and communicate pertinent appointment information to Front Desk, Patient Intake Specialists, the Prior Authorization Department, or the Clinic, as needed

Duties and Responsibilities

Obtain information about patient insurance coverage, benefits and eligibility

Maintain strict confidentiality in accordance with HIPAA regulations and Company/Clinic requirements

Provide support to all departments and patients regarding insurance questions related to eligibility and benefits.

Answer incoming and transferred calls from patients regarding the pre-registration process.

Prepare patient appointments for a smooth and efficient check-in process on the day of the appointment.

Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

Performs other duties that may be necessary or in the best interest of the organization.

Education, Licensure & Certification Requirements

High School Diploma or GED

Experience Requirements

At least one (1) year medical office experience required; Medical office/front desk experience preferred

Knowledge, Skills and Abilities Requirements

Comprehensive understanding of insurance verification, Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data

Ability to perform essential job function with high degree of independence, flexibility, and creative problem-solving techniques

Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines

Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found

Logical and Critical thinking skills

Excellent organization, time management, and prioritization skills

Professional in appearance and actions

Enjoys learning new technologies and systems

Detail oriented, professional attitude, reliable

Exhibits a positive attitude and is flexible in accepting work assignments and priorities

Meets attendance and tardiness expectations

Management and organizational skills to support the leadership of this function

Interpersonal skills to support customer service, functional, and teammate support need

Able to communicate effectively in English, both verbally and in writing with sufficient grammar and spelling skills to avoid mistakes or misinterpretations

Basic to intermediate computer operation

Proficiency with Microsoft Excel, Word, and Outlook

Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Location/Work Environment:

For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards.
For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

If you need assistance with this application, please contact (636) 227-2600

Please do not contact the office directly – only resumes submitted through this website will be considered.

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.

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Refine Your Search

prior authorization jobs in o'fallon, il

RCM/OPH Insurance Verification Specialist

PATIENT ACCESS ASSOCIATE/EMERGENCY DEPT - PATIENT ACCESS - FT DAYS

Specialty Pharmacy Liaison Full Time

Insurance Authorization Senior Associate

Prior Authorization Rep

PATIENT ACCESS ASSOCIATE/FLOAT - PATIENT ACCESS - FT VARIES

Pre-Certification Coordinator II - Pediatric Endocrinology

Medical Scribe

Medical Scheduler

Patient Services Specialist - Orthopedic Clinic (F/T Days)

Specialist Billing Projects (Hybrid) - Anesthesiology

Medical Assistant

Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

UR Coordinator

Medical Secretary III (Hybrid) - Endocrinology

Clinical Appeals Spec.

Registered Medical Assistant

Medical Receptionist - Urgent Care

Patient Care Service Representative II

Customer Service Representative

I want to receive the latest job alert for prior authorization in o'fallon, il

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