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Payer Authorization Specialist - PRN at Loyola Medicine - ApplyBlast

Payer Authorization Specialist - PRN

Loyola Medicine

4 months ago

3.1 on Glassdoor

Remote

Part Time

Junior

0 applicants

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About this role

The Payer Authorization Specialist conducts insurance verifications and pre-authorizations for clinical procedures, diagnostics, and operative services requiring prior approval from insurance plans. The role involves verifying patient benefits, constructing payment plans based on deductibles and co-insurance, and communicating authorization status along with financial responsibilities to the clinic.

Responsibilities

Perform insurance verification and pre-authorizations for clinical procedures
Verify patient benefit coverage and create tailored payment plans
Communicate authorization status and financial responsibility to clinic staff
Process diagnostics and operative services requiring prior approval
Ensure clinical services align with insurance plan guidelines

Skills

Qualifications

High School Diploma

About Loyola Medicine

loyolamedicine.org

Headquarters

Maywood, Illinois, United States

Company Size

5001-10000 employees

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Loyola Medicine is a not-for-profit health system providing comprehensive medical care across its hospitals and outpatient facilities in Illinois, including Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital. The organization offers urgent and specialty care, telehealth visits, online scheduling, patient portal access (MyChart), and streamlined access to medical records and billing.