Southern Illinois Healthcare


Posted Date 9 months ago(7/18/2019 3:45 PM)
Requisition ID
Job Locations
US-IL-Herrin | US-IL-Murphysboro
Office & Clerical
Position Type
Per Diem
Weekend Requirement
Wound Care OP


Responsible for performing duties to support patient care, efficient organization, compliance and viability of the Hyperbaric / Wound Care department operations. This includes patient intake, prior authorization, referrals, scheduling, follow-up, and clerical duties required to adequately communicate to providers and patients as well as promote the services available.


  • Safety
    • Manages processes effectively in regard to employee/patient safety.
  • Record Keeping
    • Maintains all required records, reports, statistics, logs, files and other documents as required, including but not limited to payroll, schedules and status changes.
  • Process Improvement
    • Promotes a culture of process improvement by participating in unit/department based programs that supports the system’s process improvement goals.
    • Actively participates on system-wide or hospital-based teams as needed.
  • Role Specific Responsibilities
    • Performs Patient Intake processes for Hyperbaric/ Wound Care service line.
    • Manages all aspects of appointment scheduling, patient transportation, appointment reminders / follow-up phone calls, no show letters and reporting of cancellations through appropriate channels / reporting structures.
    • Monitors EPIC prior authorization and referrals work queues daily
    • Identify and prioritize urgent and emergency prior authorizations and referral consultation requests
    • Checks chart for relevant referral/prior authorization information and shares with appropriate insurance provider or referring office provider within 48 hours of appointment
    • Call or submit online request to insurance providers for prior authorizations
    • Communicates effectively with patients, provider staff and insurance providers by telephone
    • Follow through on referrals and prior authorizations to completion/resolution in a timely fashion
    • Validates information for a prior authorization or referral request and follows-up with providers office regarding missing CPT codes or missing chart documentation
    • Collaborates with staff to identify workflow problems and identify solutions
    • Prepare all documentation to be scanned in to EPIC, including uploading of pictures.
    • Manage and update iHeal of all scheduled meetings, staffing, provider information and referral information for marketing purposes.
    • Maintain departmental supplies and update GEMBA board.
    • Print and assemble marketing materials.
    • Complete tasks in assigned billing/financial work queues.
    • Must be able to float between locations when necessary.


High School diploma


Technical Experience: 1 year of office experience required and 1 year Hyperbaric experience preferred or 1 year insurance prior-authorization experience.

Effective and excellent communication skills


Must float between locations, as needed for coverage




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