Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.

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Position Summary: *
This specialist primarily focuses on referrals, outpatient procedures, admissions, medications and Infusion prior authorizations. Initiates and promotes payment and establishes reimbursement expectations for procedures, treatments and medications to be administered. Initiate strategies to recoup funds through the appeal process for denials in appropriate time frames.

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Essential Functions: *

• Organizes daily work load to maintain efficient flow of department activity: taking physician orders, scheduling, screening of patient's pre-authorizations, patient education, etc.
• Organizes and prioritizes workload through appropriate delegation of tasks to staff.
• Maintains department scheduling needs.
• Regularly demonstrates the ability to coordinate a series of requests with a high degree of accuracy. Understands and efficiently utilize established processes to expedite patient to treatment in timely manner.
• Demonstrates the flexibility to adjust schedule in response to "STAT" orders and fluctuations in patient load.
• Knows proper sequence of exams for patient and physician convenience with the ability to train and answer question by staff when needed.
• Organizes and demonstrates the ability to schedule and give instructions for preparation of exams for patients of all ages.
• Demonstrates knowledge of filing and order entry effectively.
• Demonstrates good telephone etiquette and responds quickly to incoming calls.
• Demonstrates the ability to prepare the statistics (daily and monthly).
• Demonstrates the ability to inventory and requisition supplies.
• Demonstrates at all times in dealing with the public a positive image of our department/hospital as a compassionate organization.
• Works with a positive attitude with all staff and outlying facilities, to make an easy workflow process.
• Provides direction and/or assistance to staff, patients, families, and visitors in a courteous and positive manner.
• Interacts with all ancillary departments, physicians, and nurses in a positive manner.
• Communicates with a positive attitude to utilize clear and concise information that is exchanged between departments.
• Shows leadership qualities and is available to troubleshoot with other staff.
• Innovative; looking for ways to improve the department.
• Shows excellence and leads by example.

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The responsibilities _listed above are not all-inclusive; other activities may be required in support of the hospital'_s goals and objectives._

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Position Requirements: *

• High School Graduate or Equivalent
• 5 years of clinical experience preferred or existing knowledge of CS.
• Familiarity with medical terminology and medical office/hospital procedures
• Keen clerical and computer skills
• Ability to deal tactfully with staff, patients and visitors
• Excellent Customer Service

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Horizon Health* is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.

Intrigued? Don’t wait, apply today. We are actively reviewing applicants for the Procedure Scheduling Specialist/Prior Authorization. Be part of an organization that is dedicated to the growth and development of its colleagues. Here at Horizon Health, our employees speak for themselves. Join our family & begin an incredible career!

Job Type: Full-time

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