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Blessing Hospital AUTHORIZATION SPECIALIST in QUINCY, Illinois

JOB SUMMARY

  • This position is responsible for verifying patient insurance eligibility, obtaining insurance benefits, and performing authorization, pre-certification, and / or notification as required by governmental and third party providers. The Authorization Specialist identifies poor paying payers, taking appropriate action to protect Blessing Hospital’s assets. This position is responsible for ensuring tests or procedures for Blessing Health System and Illini Community Hospital are scheduled and coordinated with all the required resources available at the designated time. Duties include taking information from physicians, physician offices, and patients to place on resource unit schedules, coordinating resources with other areas when applicable. The Authorization Specialist performs pre-registration duties at the time of scheduling. This position conducts professional patient interviews obtaining demographic, financial, and biographical information. The position is responsible for obtaining information to appropriately bill payers, verify patient insurance eligibility, confirm benefits eligibility, determine medical necessity, and gather statistical information in compliance with federal and state regulations. The Authorization Specialist is responsible for the delivery of quality performance and service excellence.

JOB QUALIFICATIONS

  • Education/Training/Experience:

  • REQUIRED:

  • High school graduate or equivalent

  • Excellent typing skills

  • Excellent written and verbal communication skills

  • Excellent customer services skills, ability to independently problem-solve, and perform basic mathematical calculations

  • Positive interpersonal relationship skills required.

  • PREFERRED:

  • Some College preferred

  • Experience with Microsoft Word, Excel, and other office products preferred

  • Medical Terminology preferred

  • One year of clerical and customer service experience preferred

IND4

EEO Statement: Blessing Health System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Blessing Health System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Blessing Health System expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Blessing Health System’s employees to perform their job duties may result in discipline up to and including discharge.

EEO Statement: Blessing Health System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Blessing Health System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Blessing Health System expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Blessing Health System’s employees to perform their job duties may result in discipline up to and including discharge.

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