Prime Healthcare

Infusion Insurance and Pharmacy Prior Authorization Rep

Facility Saint Francis Hospital
Location
US-IL-Evanston
ID
2025-208770
Category
Admin
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Department: Pharmacy

Schedule: Full Time Monday-Fri 7a-3:30p

Facility: Prime Healthcare St Francis Hospital

Location: Evanston, IL

 

**Position is remote but must reside in the Chicagoland area**

 

 

 

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The Infusion Insurance and Prior Authorization Representative assists with referrals by determining and verifying insurance coverage and coordination of benefits from all sources.  This position completes insurance authorization and answers infusion financial questions.  This position also ensures proper, adequate, and timely authorization to ensure timely services.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

Required qualifications:

 

1.    High school diploma or GED required.
2.    Critical thinking, decisive judgment, and ability to work independently are required.

3.    Excellent communication, organizational, and customer service skills are required.

 

 

Preferred qualification:

 

1.    Previous experience in pharmacy, infusion, or prior authorization process is preferred.

2.  Epic experience preferred.

 

Saint Francis Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $15.50 to $22.45. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

 

#LI-SK3

 

The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/

Employment Status

Full Time

Shift

Days

Options

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