at Ann & Robert H. Lurie Children's Hospital of Chica in Arlington Heights, Illinois, United States
Job Description
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
LocationArlington Pediatric Therapy
Job Description
Summary
Under the supervision of the Manager for Rehab Support Services obtains benefits, pre-authorization and pre-certification for all outpatients in Rehab Services, per assigned discipline. Tracks and re-verifies all authorizations. Communicates with payers and families regarding authorization, certification and denials. Assists staff and families with the authorization process. Refers to financial counseling as needed.
Essential Job Functions
* Verifies insurance benefits. Initiates pre-certification process and coordinates with parents to ensure authorizations are obtained.
* Maintains communication with payers, Patient Financial Services, providers, ancillary departments, and other hospital services to ensure the facilitation of the authorization, pre-certification, and appeal process.
* Reviews all outpatient accounts, identifying those accounts where re-authorization is required. Notifies clinicians and families.
* Accepts, documents, and files all authorizations and pre-certifications received from providers, families and payers.
* Completes full registration process as needed.
* Maintains knowledge of government, managed care and commercial insurance requirements by attending educational seminars as appropriate.
* Manages denied Rehabilitative Services claims until they are resolved, including but not limited to re-coding and appeal processes.
* Compiles necessary clinical paperwork for submissions for requests for authorizations.
* Other job functions as assigned.
Knowledge, Skills, and Abilities
* High School diploma or equivalent required. Associates Degree preferred.
* Minimum 1-2 years of business office experience in hospital or physician office setting.
* Familiarity with patient registration functions, insurance benefit verification, and financial counseling.
* Knowledge of medical terminology, managed care requirements, and government agency regulations.
* Ability to communicate effectively with patients and third-party payers is essential.
* Bilingual language skills preferred.
Education
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email:
EEO/AA Employer/Vets/Disability
