Insurance Specialist - Rheumatology - Windsor

Christie Clinic's department of Rheumatology in Champaign on Windsor is seeking a full-time Insurance Specialist from Monday-Friday 8:00am-5:00pm, with no night or weekend requirements.

Duties include assisting the department by scheduling appointments, obtaining prior authorizations from insurance companies, and filling in during the absence of the receptionist.

JOB DUTIES: (This list may not include all of the duties assigned.)

• Maintain an organized work area. (Filing patient orders, routers, etc.)

• Complete assigned EMR tasks.

• Accurately obtain the necessary information to process and submit prior authorization requests.

• Accurately determine and document if specific services are covered benefits.

• Proficiently utilize third party payer portals, insurance payer portals, or governmental payer portals to process submission of prior authorization requests.

• Utilize phone calls for prior authorization submission only when unable to perform on portals.

• Accurately update insurance information, authorization status, and any other pertinent information required for scheduling.

• Advocate for patients/providers by processing referrals in a time sensitive manner.

• Scheduling patient appointments (including entering lab orders, imaging orders and referrals).

• Maintain and update patient medical record upon visit including allergies, medications, etc. and enter into the electronic medical record.

• Review and respond to the EMR work list per department standard work.

• Complete lab order entries

• Complete and submit patient assistance forms.

• Perform related work as required.

REQUIRED QUALIFICATIONS:

• High School Diploma or equivalent

PREFERRED QUALIFICATIONS:

• Experience in a medical office setting

• Prior experience with health insurance system

• Prior experience with imaging authorizations       

CERTIFICATE/LICENSE: 

• None

TYPICAL PHYSICAL DEMANDS:

Demands include sitting, standing, walking, bending, stooping, stretching, and lifting up to 25 pounds. Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity is also required.         

TYPICAL WORKING CONDITIONS:

Work is performed in a clinical setting and involves contact with insurance carriers and various other clinical team members.  Requirements may include working irregular hours. Requirements may include working irregular hours.

PAY AND BENEFITS:

The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria. 

We also offer a substantial benefits package, including: