Prior Auth Specialist RN KMG

Job Description

Description:

Location: Atwood, Cerro Gordo and Monticello Illinois

Shift: Day shift

Schedule: M-F 8am-4:30pm

Job Summary: Predominantly serves in a clerical role. Reviews requests for medical treatments, procedures, and medications. Determines and documents if the treatment or medicine is necessary or has potential benefits. Communicates with insurance providers and payors to ensure timely treatment and medication dispensation. Other duties input of new patient information into the EHR. Supports clinical staff through completion of FMLA and disability requests, Gathers patient data needed for establishing care.

Will occasionally provide direct patient care in the office/clinic setting. Provides care that meets the psychosocial, physical and general aspects of care; meets the communication needs of patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under the direct supervision of a physician. Maintains regulatory requirements, nursing and office/clinic policies, procedures and standards. Communicates with physicians and team members about patient’s clinical condition, including results of diagnostic studies and symptomatology.

Benefits:

40 hours PTO effective date of hire

Health, Dental, Vision and Life insurance effective date of hire

Generous 401(k) match effective after 90 days

Quality/Goal incentive annually

Free Wellness Program

DAISY Foundation Partner Requirements:

Regulatory Requirements:

· Current RN licensure in State of Illinois.

· Current BLS certification.

Since 1941, Kirby Medical Center has been the premier provider of healthcare in Piatt County and surrounding areas. We are committed and proud to provide quality and compassionate healthcare services to people in need. Our values-based culture, employee engagement, and award-winning healthcare have driven the success of our organization. Kirby Medical Center is an independent, not-for-profit hospital located on a beautiful campus in Monticello, IL with satellite clinics in Atwood, & Cerro Gordo, IL. Kirby Medical Center offers an outstanding benefits package and state-of-the-art medical equipment. Ideal candidates enjoy a workplace where compassion, positive attitudes, respect, excellence, and stewardship are on display every day.

Full-time