- Waukegan, IL, USA
- Full Time
We are Vista Hospital. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.
We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.
WHAT WE OFFER
- Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
- Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
- Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.
This position is responsible for obtaining pre-certifications and pre-authorizations for procedures, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders.
JOB DUTIES AND RESPONSIBILITIES:
- Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements.
- Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
- Request, follow up and secure prior authorizations prior to services being performed.
- Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
- Communicate any insurance changes or trends among team.
- Maintains a level of productivity suitable for the department.
- Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
- Other duties as assigned.
JOB REQUISITES:
Experience: Previous experience in a hospital or outpatient setting preferred.
