Prior Authorization Specialist

MTK Healthcare is Hiring - Prior Authorization Specialist


Position Details

• Position: Prior Authorization Specialist
• Facility: Hopedale Medical Complex
• Location: Hopedale, IL 61747
• Job Type: Contract
• Duration: 13 Weeks
• Shift: Days
• Pay Rate: $17.00 - $21.50 per hour

Position Summary


MTK Healthcare is seeking a detail-oriented and experienced Prior Authorization Specialist for a contract opportunity with Hopedale Medical Complex in Illinois. The ideal candidate will be responsible for insurance verification, obtaining prior authorizations, supporting financial counseling activities, and maintaining accurate patient and payer documentation while ensuring compliance with HIPAA and healthcare regulations.


This role is ideal for candidates with strong healthcare administrative experience, insurance knowledge, excellent communication skills, and the ability to work effectively in a fast-paced medical environment.


Key Responsibilities

• Verify patient insurance eligibility and benefits
• Obtain prior authorizations from insurance providers
• Coordinate with clinical departments to collect required documentation
• Maintain accurate authorization and patient records within EMR systems
• Assist with denial management and appeals support
• Provide patient financial counseling and charity application assistance
• Maintain HIPAA compliance and patient confidentiality
• Support front office and administrative operations as needed

Requirements

• High School Diploma Required
• Some College or Bachelor's Degree Preferred
• Experience in medical office, patient access, or healthcare administration preferred
• Strong understanding of insurance verification and authorization procedures
• Knowledge of medical terminology and patient registration processes
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Excellent verbal and written communication skills
• Ability to multitask and work independently

Preferred Skills

• Prior Authorization Processing
• Insurance Verification & Benefits Coordination
• Medical Office Operations
• Patient Financial Counseling
• EMR Documentation
• HIPAA Compliance
• Strong Organizational & Problem-Solving Skills

Best Regards,


Ashu


TL Healthcare


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