Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Summary

Under the supervision of the Manager for Rehab Support Services obtains benefits, pre-authorization and pre-certification for all outpatients in Rehab Services, per assigned discipline. Tracks and re-verifies all authorizations. Communicates with payers and families regarding authorization, certification and denials. Assists staff and families with the authorization process. Refers to financial counseling as needed.

Essential Job Functions

* Verifies insurance benefits. Initiates pre-certification process and
coordinates with parents to ensure authorizations are obtained.
* Maintains communication with payers, Patient Financial Services, providers, ancillary departments, and other hospital services to ensure the
facilitation of the authorization, pre-certification, and appeal process.
* Reviews all outpatient accounts, identifying those accounts where
re-authorization is required. Notifies clinicians and families.
* Accepts, documents, and files all authorizations and pre-certifications
received from providers, families and payers.
* Completes full registration process as needed.
* Maintains knowledge of government, managed care and commercial
insurance requirements by attending educational seminars as appropriate.
* Manages denied Rehabilitative Services claims until they are resolved,
including but not limited to re-coding and appeal processes.
* Compiles necessary clinical paperwork for submissions for requests for authorizations.
* Other job functions as assigned.

Knowledge, Skills, and Abilities

* High School diploma or equivalent required. Associates Degree
preferred.
* Minimum 1-2 years of business office experience in hospital or
physician office setting.
* Familiarity with patient registration functions, insurance benefit
verification, and financial counseling.
* Knowledge of medical terminology, managed care requirements, and government agency regulations.
* Ability to communicate effectively with patients and third party payers is essential.
* Bilingual language skills preferred.

Education

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life, AD&D and Disability

• Critical Illness, Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Children's facilities

• Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org