Job Description

Busy Rheumatology and Chiropractic group seeks a Full-time prior authorization specialist that works to ensure accuracy of prior authorizations for outpatient medical and infusion services. Applicants should be very detail-oriented and organized, possess excellent communication skills, and once trained, be able to complete tasks independently. This position reports to the Practice Administrator. This position is not remote.

• Accurately enter patient demographics and patient insurance charges into practice management/billing system (eClinicalWorks).
• Performs systematic, consistent, and timely follow-up for both insurance and patient balances.
• Answer and resolve billing inquiries.
• Obtain insurance eligibility for procedures, including prior authorizations, copay assistance, and coordination of benefits.
• Takes all appropriate action(s) to process outstanding account(s) to a final resolution.
• Perform other specific projects relating to billing, data entry, collections and computer operations as required.

Requirements:

• Minimum of 1 year of experience of medical prior authorizations and medical benefits.
• Maintains up-to-date knowledge of healthcare insurance industry including Medicare, Medicaid, Managed Care, and other governmental and commercial payors.
• Experience with EMR (eClinicalWorks is preferred).
• Ability to multi-task, work well under pressure and meet deadlines effectively.
• Excellent communication, interpersonal, organizational, and analytical skills.
• Must be a team player and yet be able to work independently.
• Must be computer literate in the Microsoft Office Suite.
• Bilingual in Spanish is a Plus.

About Greater Chicago Specialty Physicians:
Greater Chicago Specialty Physicians is an Arthritis and Rheumatology based multidisciplinary medical clinic whose mission is to provide both medical and holistic treatment. Our goal is to provide the highest level of patient care and treatment while empowering and educating the patient. We are passionate about what we do and compassionate about our patient care.

Greater Chicago Specialty Physicians is an Arthritis and Rheumatology based multidisciplinary medical clinic whose mission is to provide both medical and holistic treatment. Our goal is to provide the highest level of patient care and treatment while empowering and educating the patient. We are passionate about what we do and compassionate about our patient care.

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