Rush University Medical Center
Pre-Authorization Specialist 1-16927
Rush University Medical Center - Chicago, Illinois, United States, 60290
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Overview
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Pre-Authorization Specialist 1-16927
role at
Rush University Medical Center
Location:
Chicago, Illinois Business Unit:
Rush Medical Center Hospital:
Rush University Medical Center Department:
Patient Access-Pre-Visit Work Type:
Full Time (Total FTE between 0.9 and 1.0) Shift:
Shift 1 Work Schedule:
8 Hr (9:00:00 AM - 5:30:00 PM) Rush offers exceptional rewards and benefits. Learn more at our
Rush benefits page . Pay Range:
$18.87 - $29.73 per hour Salary is determined by factors including education, experience, skills, and market data. Offers may vary depending on circumstances. Summary
The Prior Authorization Specialist I is responsible for obtaining and resolving referrals, precertifications, and prior authorizations to support insurance plan requirements across various hospital environments. They may also handle pre-appointment registration and insurance review to maximize clean claim submissions. The role embodies Rush’s mission, vision, and values, adhering to policies and procedures. Required Qualifications
High school graduate or equivalent 0-1 year of experience Basic understanding of Microsoft Office suite Excellent communication and customer service skills Basic keyboarding skills Ability to analyze and interpret data Critical thinking and problem-solving skills Team-oriented, flexible, eager to learn Attention to detail and accuracy Ability to prioritize and work effectively in a fast-paced environment Follow oral and written instructions Independence in managing time and tasks Maintain confidentiality Preferred Qualifications
Associates Degree in Accounting or Business Administration Experience in a hospital, clinic, or healthcare financial setting Knowledge of insurance, government programs, and billing processes Medical terminology knowledge is a plus Responsibilities
Gather and record demographic and insurance information to obtain authorizations Verify patient eligibility and clinical background for insurance approval Communicate with review organizations and insurance companies to meet prior approval requirements Perform registration functions in compliance with regulations and policies Maintain high authorization accuracy rates Provide excellent customer service and resolve issues efficiently Collaborate with departments to ensure hospital reimbursement Inform patients about policies and payment options Respond to inquiries from patients, payers, and staff Follow all applicable laws and hospital policies, including HIPAA Participate in training sessions as required Perform other duties as assigned Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.
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Pre-Authorization Specialist 1-16927
role at
Rush University Medical Center
Location:
Chicago, Illinois Business Unit:
Rush Medical Center Hospital:
Rush University Medical Center Department:
Patient Access-Pre-Visit Work Type:
Full Time (Total FTE between 0.9 and 1.0) Shift:
Shift 1 Work Schedule:
8 Hr (9:00:00 AM - 5:30:00 PM) Rush offers exceptional rewards and benefits. Learn more at our
Rush benefits page . Pay Range:
$18.87 - $29.73 per hour Salary is determined by factors including education, experience, skills, and market data. Offers may vary depending on circumstances. Summary
The Prior Authorization Specialist I is responsible for obtaining and resolving referrals, precertifications, and prior authorizations to support insurance plan requirements across various hospital environments. They may also handle pre-appointment registration and insurance review to maximize clean claim submissions. The role embodies Rush’s mission, vision, and values, adhering to policies and procedures. Required Qualifications
High school graduate or equivalent 0-1 year of experience Basic understanding of Microsoft Office suite Excellent communication and customer service skills Basic keyboarding skills Ability to analyze and interpret data Critical thinking and problem-solving skills Team-oriented, flexible, eager to learn Attention to detail and accuracy Ability to prioritize and work effectively in a fast-paced environment Follow oral and written instructions Independence in managing time and tasks Maintain confidentiality Preferred Qualifications
Associates Degree in Accounting or Business Administration Experience in a hospital, clinic, or healthcare financial setting Knowledge of insurance, government programs, and billing processes Medical terminology knowledge is a plus Responsibilities
Gather and record demographic and insurance information to obtain authorizations Verify patient eligibility and clinical background for insurance approval Communicate with review organizations and insurance companies to meet prior approval requirements Perform registration functions in compliance with regulations and policies Maintain high authorization accuracy rates Provide excellent customer service and resolve issues efficiently Collaborate with departments to ensure hospital reimbursement Inform patients about policies and payment options Respond to inquiries from patients, payers, and staff Follow all applicable laws and hospital policies, including HIPAA Participate in training sessions as required Perform other duties as assigned Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.
#J-18808-Ljbffr