Referral and Pre-Authorization Clerk

Kirby Medical Center

Posted 2 months ago

Full Time

Monticello, Illinois

In Person

Smart Summary

Responsibilities

The Referral and Pre-Authorization Clerk is responsible for verifying patient insurance coverage and computing benefits. They also compile itemized hospital bills and coordinate with medical records and physician office staff.

Qualifications

You have a high school diploma or equivalent and previous customer service experience. You possess a thorough understanding of various insurance types (Medicare, Medicaid, HMOs, PPOs, private insurance) and have basic computer knowledge with data entry skills.

Must Have Skills for ATS

Medicare

Medicaid

HMOs

PPOs

private insurance

data entry

Job Description

Description

Location: Monticello, Illinois

Shift: Day shift

Schedule: 8:00am-4:30pm Monday-Friday

Job Summary: The Referral and Pre-Authorization Clerk is responsible for compiling itemized hospital bills, verifying patient insurance coverage and computing patient insurance benefits. Works closely with the Admitting Office, Medical Records, and physicians' office staff. Participates in performance improvement and CQI activities.

Benefits:

  • 40 hours of PTO effective date of hire
  • Health, Dental, Vision and Life insurance effective date of hire
  • Generous 401(k) match effective after 90 days
  • Quality/Goal incentive annually
  • Free Wellness Program

Requirements

Regulatory Requirements:

  • High school graduate or equivalent preferred.
  • Previous customer service experience preferred.

Skills:

  • Thorough understanding of Medicare, Medicaid, HMO's, PPO's, private insurance companies.
  • Basic computer knowledge, data entry skills.

Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL. Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.

Kirby Medical Center

Kirby Medical Center is an independent, not-for-profit 501 (c) 3 corporation located in Monticello, Illinois. Since 1941, Kirby has been serving the healthcare needs of families in Piatt County. We are committed and proud to provide quality and compassionate healthcare services to all people in need, regardless of their ability to pay. Our medical staff and hospital team are pleased to be able to serve you in a healing environment with spacious and private patient suites, advanced imaging technology, including digital mammography, as well as a broad range of services from surgery to rehabilitative therapies, specialty care and beyond.
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