Prior Authorization Specialist
Jersey Community Hospital · jch.org
Jerseyville
Subscribers got this job on 22 October 2026.
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The job in short
Insurance prior authorization processing.
ClinicalInsurance
Details
- Found
- 5 d ago · posted 2026-10-21
- Location as listed
- Jerseyville, IL, US
- Role
- Medical Coding / Billing / Records
- Source
- The company’s own careers site
Full description
Description
• Contact insurance carriers to verify patient's insurance eligibility, benefits, and authorization requirement.
• Secure prior authorizations before services are performed.
• Communicate insurance changes/trends to team and leadership.
• Document all communications/contacts with providers and other personnel.
• Prioritize time sensitive authorizations.
• Maintain proficiency in multiple EMR systems for demographics, insurance, and clinical information.
• Demonstrate proficiency in digital faxing, scanning, and instant messaging communication tools.
• Other roles and responsibilities as assigned.
Requirements
Education and Experience:
• High school graduate or equivalency.
• Certification through NAHAM, HFMA, AHIMA and Associates Degree preferred
• Minimum of two years’ experience in a clinic/hospital billing, prior authorization, and/or insurance verification area, w/demonstrated payer knowledge preferred.
Skills/Abilities:
• Demonstrated communication and customer service skills.
• Ability to follow oral or written instructions.
• Ability to organize and interpret data; judgment, tact, diplomacy and the ability to problem solve.
• Work effectively in a team environment; communicate with a variety of professionals
• Knowledge of computers and software required
Physical Requirements:
• Work is of light demand.
Benefits:
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement
• Paid Time Off
• Tuition Reimbursement
• Health Savings Account
• Wellness Program
• Employee Assistance Program
Medical Coding / Billing / Records jobs in the United States · All Jersey Community Hospital jobs