Top 46 Prior authorization specialist Jobs in Wheaton, Il

Hoffman Estates Surgery Center - Business Office Specialist
Hoffman Estate Surgery Center —Hoffman Estates, IL
- $25 - $35 an hour
- Full-time
- BLS Certification
- HIPAA
- Administrative experience
- Dental insurance
- 401(k)
Quick Apply
Insurance Authorization Specialist - Physical Therpay
Doctors of Physical Therapy —Plainfield, IL
- $20 - $21 an hour
- Full-time
- Analysis skills
- In-person
- Communication skills
- Health savings account
- Disability insurance
Quick Apply
Patient Care Specialist - Data Entry and Prior Authorization
Carepoint Healthcare LLC —Schaumburg, IL
- $20 - $23 an hour
- Full-time
- Mid-level
- Data entry
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Prior Authorization Specialist
Midwest Comprehensive Medical Center —Elmhurst, IL
- From $22 an hour
- Full-time
- Spanish
- Customer service
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
5d
Insurance and Prior Authorization Manager
USA Clinics Group —Northbrook, IL
- $70,000 - $85,000 a year
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
- 401(k)
- Paid time off
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Patient Relations Specialist, Full-time
Bright Light Medical Imaging —Wheaton, IL
- $18.00 - $19.50 an hour
- Full-time
- Word processing
- HIPAA
- High school diploma or GED
- Paid training
- AD&D insurance
Quick Apply
11d
Nutrition Care Coordinator
Option Care Enterprises, Inc. —Chicago, IL
- $18.72 - $31.20 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Quick Apply
8d
Authorization Referral Specialist Coordinator
CHICAGO RIDGE MEDICAL IMAGING LLC —Chicago Ridge, IL
- $20 - $22 an hour
- Full-time
- Mid-level
- Radiology
- Medical terminology
- Health insurance
- Dental insurance
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Administrative Assistant/ Prior Authorization Specialist for Home Health Agency
Home Health Advantage INC. —Orland Park, IL
- Full-time
- Microsoft Outlook
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Part-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
Registration
RAYUS Radiology —Geneva, IL
- $16.09 - $23.27 an hour
- Part-time
- Bilingual
- Office
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Patient Access Specialist
Advanced Behavioral Health Services —Naperville, IL
- $18 - $24 an hour
- Part-time
- Microsoft Word
- Customer service
- In-person
- Health insurance
- Dental insurance
Quick Apply
1d
Patient Access Representative - Oncology - Days
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
- Free parking
- Wellness program
Patient Access Representative II
Endeavor Health —Arlington Heights, IL
- $19.89 - $28.84 an hour
- Part-time
- HIPAA
- Mid-level
- Windows
- Free parking
- Wellness program
Team Account Coordinator - OEM Team
Siemens —Rolling Meadows, IL
- $44,982 - $77,112 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
5d
Medical Insurance Verification Specialist
Grand Vein Specialists —Chicago, IL
- From $17 an hour
- Full-time
- HIPAA
- In-person
- Medical terminology
- Health insurance
- Dental insurance
Quick Apply
Referral Coordinator
Primecare Community Health —Chicago, IL
- $17.05 - $22.50 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- 403(b) matching
Quick Apply
Insurance Verifier/Financial Counselor
Mercy Medical Center —Aurora, IL
- $16.35 - $23.68 an hour
- Full-time
- Hospital
- Computer literacy
- Research
- Health insurance
- Dental insurance
2d
Revenue Cycle Specialist
Healthcare Alternative Systems —Chicago, IL
- $28 - $31 an hour
- Bilingual
- Microsoft Word
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Insurance Verification Specialist
USA Clinics Group —Northbrook, IL
- $48,000 - $54,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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Hoffman Estates Surgery Center - Business Office Specialist

Hoffman Estate Surgery Center -
Hoffman Estates, IL

Quick Apply

Job Details

Full-time
$25 - $35 an hour

Benefits

Dental insurance
401(k)
Tuition reimbursement
Parental leave
Flexible schedule
Retirement plan

Qualifications

Vendor relationship building
BLS Certification
Administrative experience
High school diploma or GED
Computer skills

Full Job Description

POSITION SUMMARY:

Under the direction of the Business Office Manager, or Center Administrator, the Business Office Specialist (BOS) can assume responsibility for multiple business office functions based on the needs of the Center. The functions may include any combination of insurance verification, front desk coordination, surgery scheduling, medical records coordination, collection of financial responsibilities, and administrative assistance. This role requires strong communication with patients, internal colleagues, and physician’s offices, attention to detail, and knowledge of healthcare insurance plans, billing procedures, and other primary functions associated with a medical practice. This role can also serve as a platform for cross training of Business Office colleagues.

DUTIES/RESPONSIBILITIES

Front desk coordination:

Answer and triage phone calls, greet and speak with patients and family members in a friendly and compassionate manner.
Monitor the main entrance and serve as first point of contact for all visitors at the Center. Maintain daily visitor log.
Prepare welcome packets and necessary documentation for next day cases.
Provide welcome packets, and check-in patients including collecting and scanning of documents, verify, and input patient data.
Print estimate forms and obtain patient signature. Collect payment as needed or set up payment plans.
Give appropriate instructions to patients and family members at the time of admission regarding expectations of the day.
Appropriately record information in patient’s medical record including the download of information from EHR/paper chart to EMR.
Responsible for vendor credentialing and access of vendors to the Center.
Maintain waiting area and the front desk area in a neat and orderly manner.

Surgery scheduling:

Receive and review surgery requests from surgeon’s offices and ensure all information is complete and entered into EMR.
Coordinate with surgeons, patients, and the surgical team to ensure smooth scheduling and efficient use of resources.
Resolve scheduling conflicts as they occur and manage late bookings as they occur.
Obtain pre-authorizations, collect demographics, and relevant documents needed for booking the case.
Record special equipment or implants as needed for surgical procedures and notify appropriate parties including pain blocks, anesthesia, and neuromonitoring.
Manage and maintain block scheduling; review statistics associated with block utilization and provide recommendations based on trends.
Maintain accurate and up-to-date patient records and documentation.

Insurance verification:

Verify insurance coverage by confirming patient’s insurance eligibility and benefits with various providers (HMOs, PPOs, Medicare, and Medicaid); document and update patient insurance details in the system and maintain up-to-date records.
Investigate and resolve discrepancies in insurance information attached to patient account.
Ensure valid authorizations were received from physician’s office for the scheduled procedure; confirm by contacting insurance companies and contacting physician’s offices in the event of missing authorizations.
Communicate coverage details, and financial estimates to patients prior to services rendered; obtain payments for procedures; address insurance-related inquiries.
Collect any outstanding balances; inform revenue cycle when account has outstanding insurance balance.
Document all necessary information to the billing department for accurate claims processing.
Adhere to HIPAA and other relevant regulations.
Understand and apply ICD-10, CPT, and HCPCS codes when verifying coverage.
Remain current on all case verification; the standard operating procedure is two weeks prior to date of service.
Notify the Business Office Manager in the event of insurance or authorization discrepancies or balances due.
Run daily reports to ensure all cases are verified, authorized, and financial counseling is complete.

Administrative assistance:

Answer and triage phone calls, greet and speak with patients and family members in a friendly and compassionate manner.
Assist in monitoring the main entrance and serve as a point of contact for all visitors at the Center.
Manage incoming and outgoing mail and faxes.
Compose emails and other correspondence.
Schedule meetings, manage calendars, coordinate meetings and events.
Maintain physical and electronic files, databases, and other record-keeping systems.
Prepare memos, reports, invoices, and other documents; proofread and edit written materials.
Order office supplies, coordinate equipment maintenance, and manage vendor relationships.
Book flights, hotels, and transportation for employees.
Assist with project management tasks such as tracking deadlines and facilitating communication.
Maintain waiting area and the front desk area in a neat and orderly manner.
Maintain confidentiality of Center and patient information at all times to ensure compliance.
Perform other duties as assigned.

EDUCATION/EXPERIENCE

REQUIRED:

High school diploma or equivalent
Medical office experience
Proficient computer skills and office administrative experience
BLS certification (as required by individual ASC policy)

PREFERRED

Insurance verification or billing experience in a healthcare environment
Ambulatory surgery center business office experience

Pay: $25.00 - $35.00 per hour

Benefits:

401(k)
Dental insurance
Flexible schedule
Parental leave
Retirement plan
Tuition reimbursement

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in wheaton, il

Hoffman Estates Surgery Center - Business Office Specialist

Insurance Authorization Specialist - Physical Therpay

Patient Care Specialist - Data Entry and Prior Authorization

Prior Authorization Specialist

Insurance and Prior Authorization Manager

Patient Relations Specialist, Full-time

Nutrition Care Coordinator

Authorization Referral Specialist Coordinator

Administrative Assistant/ Prior Authorization Specialist for Home Health Agency

Patient Access Specialist II - Emergency Department (Evenings) 20 hrs/week

Registration

Patient Access Specialist

Patient Access Representative - Oncology - Days

Patient Access Representative II

Team Account Coordinator - OEM Team

Medical Insurance Verification Specialist

Referral Coordinator

Insurance Verifier/Financial Counselor

Revenue Cycle Specialist

Insurance Verification Specialist

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