OverviewPrior Authorization Nurse - Remote - CardiologyPosition Highlights : * Full-Time; 40 hours / week* Hours : Monday-Friday;
8 : 00am-5 : 00pm* Location : Remote; In-Person Training 6-10 weeks before fully remote.* Travel : Travel to Westmont, Winfield, Elmhurst for coverage as neededBenefits : * Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
- Employer provided life and disability insurance.* $5,250 Tuition Reimbursement per year.* Immediate 401(k) match.* 40 hours paid volunteer time off.
- A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.* 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team memberResponsibilitiesUnder direct supervision of the Cardiology Supervisor, the Prior Authorization Nurse will be responsible for : * Completes prior authorizations for patients and other paperwork / documents as needed* Will also support Cardiology Phone triage, my chart messages, and schedule in-office diagnostic testing.
- Obtains insurance pre-certification for all office procedures, medications, infusions, injections, surgery, diagnostic testing, imaging, and medications.
- Performs timely documentation of status work in applicable electronic platform.* Ensures patients are informed of scheduled tests / procedures and insurance requirements prior to completion.
- Assists in benefit verification with patient insurance company so patient knows ahead of time what they will be financially responsible for, where applicable.
- Obtains any and all pertinent clinical health information to process authorizations, referrals, and precertifications.QualificationsThe Experiences You Bring* Current IL RN licensure* Graduate of an accredited Nursing Program* Current CPR certification* Prefer a minimum of one year of professional nursing experience in a clinical or hospital setting but may consider new grad under specific circumstances
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OverviewPrior Authorization Nurse - Remote - CardiologyPosition Highlights:* Full-Time; 40 hours/week* Hours: Monday-Friday; 8:00am-5:00pm* Location: Remote; In-Person Training 6-10 weeks before fully remote. Ensures patients are informed of scheduled tests/procedures and insurance requirements prio...
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