Insurance Authorization Coordinator - JR-1062024-5904 - Masco Corporation
Chicago, IL
About the Job
This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12229931 By joining our team,
you'll be part of our life-changing Mission and Vision. You'll work in
a truly inclusive environment where diversity and equity are championed
through words and actions. You'll contribute to an innovative culture
that is second to none, one that embraces curiosity, discovery and
compassion. You'll play a role in something that's never been done
before as we integrate science and clinical care to help patients
achieve better, faster outcomes - as we Advance Human Ability, together.
Job Description Summary
The Insurance Authorization Coordinator will determine eligibility for
third party payer benefits and obtains initial financial authorization
when required; including expediting response to referral inquiry,
insuring benefits are available to cover, obtaining insurance
authorization, assessing clinical information of referral and obtaining
social and demographic information to support authorization or referral
process. Notifies patient/family and clinical area if third party
coverage will not reimburse any or all of the planned care. Identifies
alternative payment options to the patient/family and refers appropriate
cases to the Care Manager.
The Insurance Authorization Coordinator will consistently demonstrate
support of the Shirley Ryan AbilityLab (SRAlab) statement of Vision,
Mission and Core Values by striving for excellence, contributing to the
team efforts and showing respect and compassion for patients and their
families, fellow employees, and all others with whom there is contact at
or in the interest of the institute.
The Insurance Authorization Coordinator will demonstrate Shirley Ryan
AbilityLab Core Attributes: Communication, Accountability,
Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and
Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to
Excellence) while fulfilling job duties.
Job Description
The Insurance Authorization Coordinator:
- Researches and verifies financial coverage with third-party payers
for planned services prior to patient's scheduled appointment,
which includes completing authorization requirements for the
patient's specific plan and communicating limitations or denials to
patient/family
- Refers cases to outpatient Care Managers or Social Workers when
patients are unable to pay for services or services are not covered
under a third-party payer.
- Documents receipt and forwards appropriate forms (such as a primary
care physician referral or a signed agreement to self-pay) to
Patient Financial Services.
- Documents all financial clearance information in Information System.
- Coordinates Clinic referral and authorization processes including
expediting response to referral inquiry, insuring benefits are
available, obtaining insurance authorization, assessing clinical
information of referral and obtaining social and demographic
information to support.
- Screens, and responds to requests for general information regarding
SRAlab services and programs.
- Identifies and verifies patient benefits and initiates the
pre-certification process by accessing insurance company, Medicare,
and/or Medicaid data bases.
- Identifies and implements improvements to enhance efficiency and
outcomes and to solve unique or complicated problems.
- Updates demographic, insurance, funding and medical information in
SRAlab's Information System, as needed.
- Communicates information to the outpatient clinical team or SRAlab
inpatient Care Managers as needed.
- Communicates all actual or potential denials to Financial Clearance
Supervisor.
- Performs all other duties that may be assigned in the best interest
of SRAlab.
eporting Relationships
Reporting relationships will vary according to departmental structure
Knowledge, Skills & Abilities Required
- Minimum educational requirements high school degree or equivalent,
Associate College degree preferred.
- Minimum of 2 years of experience normally acquired through prior
insurance authorization or pre-certification exp. Knowledge of
rehabilitation medicine preferred
- Working knowledge of Windows operating environment and Microsoft
Office software applications.
- Strong customer service and interpersonal skills necessary to
interact with all levels of SRAlab personnel, physicians, insurance
representatives, and other internal and external customers.
- Analytical skills necessary to ensure complete, accurate and timely
financial clearance is obtained for all outpatients receiving
rehabilitation services at SRAlab.
- Proficiency in keyboarding skills. Application of a variety of a
variety of moderately complex computer PC software
Working Conditions
Normal office environment with little or no exposure to dust or extreme
temperature.
The above statements are intended to describe the general nature and
level of work being performed by people assigned to this classification.
They are not intended to be construed as an exhaustive list of all
responsibi
information, please see:
https://illinoisjoblink.illinois.gov/jobs/12229931 By joining our team,
you'll be part of our life-changing Mission and Vision. You'll work in
a truly inclusive environment where diversity and equity are championed
through words and actions. You'll contribute to an innovative culture
that is second to none, one that embraces curiosity, discovery and
compassion. You'll play a role in something that's never been done
before as we integrate science and clinical care to help patients
achieve better, faster outcomes - as we Advance Human Ability, together.
Job Description Summary
The Insurance Authorization Coordinator will determine eligibility for
third party payer benefits and obtains initial financial authorization
when required; including expediting response to referral inquiry,
insuring benefits are available to cover, obtaining insurance
authorization, assessing clinical information of referral and obtaining
social and demographic information to support authorization or referral
process. Notifies patient/family and clinical area if third party
coverage will not reimburse any or all of the planned care. Identifies
alternative payment options to the patient/family and refers appropriate
cases to the Care Manager.
The Insurance Authorization Coordinator will consistently demonstrate
support of the Shirley Ryan AbilityLab (SRAlab) statement of Vision,
Mission and Core Values by striving for excellence, contributing to the
team efforts and showing respect and compassion for patients and their
families, fellow employees, and all others with whom there is contact at
or in the interest of the institute.
The Insurance Authorization Coordinator will demonstrate Shirley Ryan
AbilityLab Core Attributes: Communication, Accountability,
Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and
Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to
Excellence) while fulfilling job duties.
Job Description
The Insurance Authorization Coordinator:
- Researches and verifies financial coverage with third-party payers
for planned services prior to patient's scheduled appointment,
which includes completing authorization requirements for the
patient's specific plan and communicating limitations or denials to
patient/family
- Refers cases to outpatient Care Managers or Social Workers when
patients are unable to pay for services or services are not covered
under a third-party payer.
- Documents receipt and forwards appropriate forms (such as a primary
care physician referral or a signed agreement to self-pay) to
Patient Financial Services.
- Documents all financial clearance information in Information System.
- Coordinates Clinic referral and authorization processes including
expediting response to referral inquiry, insuring benefits are
available, obtaining insurance authorization, assessing clinical
information of referral and obtaining social and demographic
information to support.
- Screens, and responds to requests for general information regarding
SRAlab services and programs.
- Identifies and verifies patient benefits and initiates the
pre-certification process by accessing insurance company, Medicare,
and/or Medicaid data bases.
- Identifies and implements improvements to enhance efficiency and
outcomes and to solve unique or complicated problems.
- Updates demographic, insurance, funding and medical information in
SRAlab's Information System, as needed.
- Communicates information to the outpatient clinical team or SRAlab
inpatient Care Managers as needed.
- Communicates all actual or potential denials to Financial Clearance
Supervisor.
- Performs all other duties that may be assigned in the best interest
of SRAlab.
eporting Relationships
Reporting relationships will vary according to departmental structure
Knowledge, Skills & Abilities Required
- Minimum educational requirements high school degree or equivalent,
Associate College degree preferred.
- Minimum of 2 years of experience normally acquired through prior
insurance authorization or pre-certification exp. Knowledge of
rehabilitation medicine preferred
- Working knowledge of Windows operating environment and Microsoft
Office software applications.
- Strong customer service and interpersonal skills necessary to
interact with all levels of SRAlab personnel, physicians, insurance
representatives, and other internal and external customers.
- Analytical skills necessary to ensure complete, accurate and timely
financial clearance is obtained for all outpatients receiving
rehabilitation services at SRAlab.
- Proficiency in keyboarding skills. Application of a variety of a
variety of moderately complex computer PC software
Working Conditions
Normal office environment with little or no exposure to dust or extreme
temperature.
The above statements are intended to describe the general nature and
level of work being performed by people assigned to this classification.
They are not intended to be construed as an exhaustive list of all
responsibi
Source : Masco Corporation