Pre-Auth/Medical Forms Representative

Edward-Elmhurst Health
Warrenville, IL
Full-time

Pre-Authorization / Medical Forms Representative

Edward-Elmhurst Medical Group

Location : Corporate Center, Warrenville. Will also travel to various physician practices as needed.

Hours : Full time 40 hours per week, Monday-Friday 7 : 30am - 5pm. This position is eligible for benefits.

This position is responsible for reviewing a variety of clinical documentation to ensure completeness of the information in order to process referrals, pre-authorizations and FMLA / Disability and other forms as assigned per payer guidelines, and forms completion.

Supports providers and patients through the timely preparation, submission and communication of requests and status.

Education, Experience and / or Skills Required :

  • Minimum of one year of experience in a medical office setting
  • Previous experience with electronic medical records
  • Strong customer service focus
  • Detail oriented
  • Ability to multi-task and work in a fast paced environment
  • Strong oral and written communication skills
  • Ability to maintain confidentiality

Education, Experience and / or Skills Preferred :

  • Associates Degree
  • Medical Assistant training
  • A minimum of two years of experience processing referral, prior authorizations or medical necessity verifications.
  • High level of understanding of FMLA / Disability laws and processes
  • Medical terminology
  • Prior Epic experience
  • Bilingual

Edward-Elmhurst Medical Group , creating one of the largest healthcare provider groups in the Chicago area.

  • More than 650 clinicians including hospital-based and ambulatory providers, and those from Linden Oaks Medical Group
  • Nearly 400 physicians representing 25 specialties
  • 50 locations serving 26 communities throughout Cook, DuPage, DeKalb, Kane, Kendall and Will counties.
  • 30+ days ago
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