Pre-Authorization - Medical Forms Rep

at NorthShore University Health System in Warrenville, Illinois, United States

Job Description

Position Highlights:
Position: Pre-Authorization - Medical Forms Rep
Location: 4201 Winfield Rd, Warrenville, IL
Full Time/Part Time: [Full Time / Part Time]
Hours: Monday-Friday 8am-4:30pm
Required Travel: No

What you will do:
Prepares referrals/FMLA/disability forms per payer criteria for designated providers ensuring timely response to requests and meets established turnaround time.
Prepares pre-authorizations and FMLA/disability forms per health care guidelines/established laws for designated providers to build timely approvals/forms completion in order to preserve and generate revenue and maintain patient satisfaction.
Prioritizes the processing of referral requests/FMLA disability forms based on medical necessity and/or urgency of the patient case.
Communicates status of authorization/FMLA disability forms (approvals, denials, pending) to patients, physicians and other clinical staff.
Addresses all tasks, phone calls, voicemail and e-mail within established timeframes and per current department guidelines
Collaborates with physicians and staff as well as outside offices to obtain needed information.
Establishes, develops and maintains good working relationships with hospital departments, health plan representatives and physician office personnel as well as a high degree of customer service/recovery skills.
Maintains patient confidentiality

What you will need:
Associates Degree Preferred
1 Year of experience in a medical office setting And
1 Year Prior Epic experience
Strong customer service focus
Detail oriented
Ability to multi-task and work in a fast paced environment
Strong oral and written communication skills
Ability to maintain confidentiality
High level of understanding of FMLA/Disability laws and processes
Medical terminology
Bilingual

Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, and Vision options
Tuition Reimbursement
Free Parking at designated locations
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.