Location: Chicagoland Area, Fully Onsite
Job Type: Temporary / Temporary-to-Hire
Pay Rate: $19.00-$23.00 per hour
Position Overview
City Staffing is seeking experienced Patient Access Representatives – Prior Authorizations for anticipated opportunities with leading healthcare organizations throughout the Chicagoland area.
This role is responsible for obtaining, managing, and tracking insurance authorizations to ensure patients receive timely access to scheduled healthcare services. The ideal candidate will possess prior authorization experience, Epic proficiency, strong insurance knowledge, and the ability to manage a high-volume workload while maintaining exceptional accuracy and customer service.
Key Responsibilities
- Initiate, obtain, and manage prior authorizations for medical services, procedures, and treatments.
- Review patient accounts and scheduled services within Epic to identify authorization requirements.
- Verify insurance eligibility, benefits, coverage, and payer-specific requirements.
- Submit authorization requests and supporting clinical documentation to insurance carriers.
- Monitor pending authorizations and proactively follow up to ensure timely approvals.
- Document authorization numbers, payer communications, and status updates within Epic.
- Collaborate with clinical teams, schedulers, providers, patients, and insurance representatives to resolve authorization issues.
- Identify cases requiring additional documentation, appeals, or escalation.
- Maintain accurate patient records and protect patient confidentiality in compliance with HIPAA regulations.
- Manage a high-volume caseload while meeting productivity, quality, and turnaround standards.
Required Qualifications
- Previous Epic experience required.
- Hands-on prior authorization experience required.
- High school diploma or equivalent required.
- Strong understanding of insurance verification, payer requirements, and authorization processes.
- Excellent organizational, communication, and follow-up skills.
- Ability to manage multiple priorities in a fast-paced healthcare environment.
Preferred Qualifications
- 1–2+ years of patient access, prior authorization, insurance verification, revenue cycle, or related healthcare experience.
- Hospital or healthcare system experience.
- Knowledge of medical terminology.
- Familiarity with CPT, HCPCS, and ICD-10 coding.
- Experience working with multiple insurance carriers and managed care plans.
- Strong problem-solving and customer service skills.
City Staffing is committed to diversity, equity, and inclusion (DEI) in all aspects of our business. As a women-owned and operated business, WBE certified, we recognize the importance of creating an inclusive and welcoming work environment for all individuals regardless of age, race, creed, color, national origin, sex, ability, marital status, gender identity and/or expression, or sexual orientation.
