Customer Service Specialist - Infusion Endocrinology

Infusion Endocrinology Position

Performs complex customer service functions related to insurance pre-authorization and scheduling. This includes scheduling and reviewing clinic schedules and obtaining pre-authorization from insurance carriers for specialist visits, clinic-based procedures and courses of treatment.

Duties & Responsibilities:

• Registers and enters patient registration into the computerized patient care system in accordance with established policies and procedures coordinates patients' appointment schedules (e.g., contact patients to confirm appointments, set up return appointments); mails new information to new patients containing directions, appointment confirmations, and verifies external referrals to the health care facility.
• Review clinic schedules and procedure calendars for visits that require preauthorization. Identifies appropriate procedural and diagnostic coding (as needed) consultation with providers
• Performs insurance pre-authorization for services; Documents authorization in electronic medical record.
• Develops pre-authorization tools / quick reference guides to identify procedures/payers that do not require pre-authorization.
• Participates in departmental/ambulatory / UI Health process improvement teams.
• Attends appropriate in-service training offered by Revenue Integrity to maintain up-to-date knowledge. Serves as a resource for the department for managed care coverage issues.
• Schedules appointments for procedures and notifies and confirms patients of appointment.
• Review clinic schedules and procedure calendars for visits that require preauthorization. Identifies appropriate procedural and diagnostic coding (as needed) consultation with providers.
• Attends appropriate in-service training offered by Revenue Integrity to maintain up-to-date knowledge.
• Initiates, reviews, and monitors clinic service billing to ensure accuracy, completeness, and timeliness.
• Serves as a resource for the department for managed care coverage issues.
• Performs insurance pre-authorization for services; Documents authorization in electronic medical record.
• Develops pre-authorization tools / quick reference guides to identify procedures/payers that do not require pre-authorization.
• Performs other related duties and participates in special projects as assigned

Minimum Qualifications:

1. High school diploma or equivalent.
2. Any one or combination totaling three (3) years (36 months) from the following categories:
1. college coursework in business administration, communications, public relations or a closely related field as measured by the following conversion table or its proportional equivalent:
   • 30 semester hours equals one (1) year (12 months)
   • Associate's Degree (60 semester hours) equals eighteen months (18 months)
   • 90 semester hours equals two (2) years (24 months)
   • Bachelor's degree (120 semester hours) equals three (3) years (36 months)
2. responsible work experience in customer services, public relations, office administration, business and financial operations, healthcare administration or other closely related experience
3. One (1) year (12 months) of work experience comparable to that gained as a Customer Service Representative

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. The university provides accommodations to applicants and employees.