Referral and Authorization Analyst

Posted 5 Days Ago
Be an Early Applicant
Monticello, IL, USA
In-Office
16-20
Entry level
Healthtech
The Role
Compiles itemized hospital bills, verifies patient insurance coverage, calculates insurance benefits, and coordinates with admitting, medical records, and physicians’ office staff. The role also supports performance improvement and continuous quality improvement activities while maintaining accurate data entry and understanding Medicare, Medicaid, HMO, PPO, and private insurance requirements.
Summary Generated by Built In

Description

Job Title:Referral and Authorization Analyst
Location: Monticello, Illinois, Hybrid once trained
Department: Revenue Cycle
Position Type: Full-time  
Hours per week: 40
Schedule: Monday – Friday; 8am – 4:30pm  
Holiday Requirement: none
On Call: none
Hourly Rate: $16.38-20.48
*Compensation dependent on experience
# of Openings: 1   

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.

  Kirby Medical Center is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.   

Skills Required

  • High school diploma or equivalent
  • Previous customer service experience
  • Thorough understanding of Medicare, Medicaid, HMOs, PPOs, and private insurance companies
  • Basic computer knowledge
  • Data entry skills
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The Company
195 Employees
Year Founded: 1941

What We Do

Kirby Medical Center is an independent, not-for-profit community hospital system headquartered in Monticello, Illinois. Serving Piatt County and surrounding areas since 1941, it provides comprehensive services including acute and inpatient care, emergency services, advanced imaging, surgical services, rehabilitation and therapy, outpatient primary care clinics, a retail pharmacy (KirbyRx), and behavioral health programs.

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