Prior Authorization Specialist

ABOUT US

Our mission is to improve the quality of life for people dealing with joint pain. We strive to significantly impact our community and support each other in our collective pursuit of wellness. We believe that every role within our team contributes immensely to our success and the wellbeing of our patients.

We offer a very friendly and happy work environment and lead the healthcare market in the field. We are expanding and looking for a team player who will grow with us. We understand the importance of a positive workplace environment and ensure this by promoting and encouraging our core values of honesty teamwork compassion growth and ownership.

JOB SUMMARY

We are seeking a Prior Authorization Specialist to join our team in the Greater Chicago area. The home base for this position is in our office in Orland Park; we also have offices in Oak Brook and Northbrook you may occasionally work from.

The Prior Authorization Specialist provides excellent customer services while obtaining the necessary prior authorizations from the insurance companies of our patients.

WHAT WE OFFER

• $20 $23 / hour bonus opportunities
• Health Insurance and 401K
• Paid Time Off 11 paid holidays
• Supportive and positive culture
• Growth Potential

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Ensures patients have been cleared for office visits.
• Resolves precertification registration and caserelated concerns prior to a patients appointment.
• Key liaison between outside credentialing team and in house insurance team.
• Gathers pertinent information from insurance carriers financial counselors and other ancillary staff to make certain the patients financial obligations for services provided.
• Provides support to clinical staff in order to facilitate the administrative components of clinical referrals for various services.
• Acts as a liaison between physicians health plans vendors and patients or other referral sources.
• Verifies insurance coverage and obtains authorizations if needed from insurance coverage.
• Enters referrals and documents communications actions and other data in an information system.
• Back up other administrative staff as needed with the opportunity to crosstrain.

QUALIFICATIONS

• Experience with prior authorization and credentialing
• Strong understanding of insurance credentialing
• Prior Authorization Certified Specialist (PACS) preferred
• Passion for patient satisfaction
• Professionalism
• Time Management and Organizational Skills
• Interpersonal Communication
• Confidentiality
• Knowledge of patient management softwares