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Home › Companies › 15dc44c7 Eab3 4503 A1bc A66382fbd1f7 19000101 000001 › Prior Authorization Rep- Consulting

Prior Authorization Rep- Consulting

15dc44c7 Eab3 4503 A1bc A66382fbd1f7 19000101 000001 · Robinson, IL, US, Robinson, IL · Active · $19–$23 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
Company15dc44c7 Eab3 4503 A1bc A66382fbd1f7 19000101 000001
TitlePrior Authorization Rep- Consulting
Normalized title-
Department / team-
LocationRobinson, IL, United States
Work model-
Employment typeFull Time
Salary$19–$23 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-04-28 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 15dc44c7 Eab3 4503 A1bc A66382fbd1f7 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Robinson.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company15dc44c7 Eab3 4503 A1bc A66382fbd1f7 19000101 000001
Source727bc4a9-f54d-4622-b76f-8bf5b2c2b88a
ATS providerADP Workforce Now Recruiting

Description

Position: Prior Authorization/Referral Rep Department: Consulting Services Reports To: Director- Consulting Services Direct Reports: None FLSA Classification: Non-Exempt Position Summary The Prior Authorization rep is responsible for providing indirect patient care through completion of practitioner ordered referrals and prior authorizations. Works closely with insurance companies to obtain authorization prior to scheduled surgeries and tests to ensure proper payment for such procedures. Establishes appointments for patients needing referral to an outside facility for continuation of care and/or specialty care. Supplies additional required information as needed to insurance companies and facilities to complete required tasks. Responds quickly and accurately to assist with referral and prior authorization tasks. General Duties, Tasks and Responsibilities Follows medical records documentation guidelines regarding timeliness of reviews and completeness of documentation; obtains and documents accurate and thorough patient medical history including pertinent history, pain assessment, current medications, identified health risk factors and other needed information. Completes pre-certification for testing/procedures; ensure notification of pre-certification for each patient is completed in a timely manner. Assists outside clinics with courier duties, including collecting specimen samples from the satellite clinics and delivering and collecting supplies/mail. Performs all aspects of the position in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors; utilizes established hand-off communication protocols; maintains the security of the department. Obtains proper authorization; follows medical records documentation guidelines regarding timeliness of reviews and completeness of documentation. Works with patient to establish a referral appointment for the specialty or facility indicated by the ordering practitioner. Provides supplemental information to insurance companies and practitioners/facilities to obtain pre-certification or a referral appointment. Communicates established appointments and details with patients upon completion of a referral appointment. Completely and accurately documents all communication with insurance companies, facilities, and patients. Complies with all established safety procedures to ensure a safe environment for patients, visitors and staff. Participates in performance improvement activities Performs other duties as assigned Education Requirements High School diploma / Equivalent Required Completion of an accredited Medical Assistant Program or HIM Degree/Certificate preferred Certification/Licensure Requirements Current (CCMA) Medical Assistant Certification or HIM Degree/Certificate preferred BLS preferred Experience Requirements CCMA/HIM minimum 1 year Preferred Physician Office minimum 2 years Preferred Computer Skills Strong computer skills including Microsoft Excel and Outlook Additional Skills Excellent communication and customer service skills Strong interpersonal, organizational and time management skills Ability to work independently, prioritize and complete tasks in a timely manner

Full job record

Job ID91ff6a13b3a8d3f973bd99cf5556b0a832af6cea
Org ID8df677d3-c7ad-47ce-8b7c-ebe237752d26
Source ID727bc4a9-f54d-4622-b76f-8bf5b2c2b88a
Board ID727bc4a9-f54d-4622-b76f-8bf5b2c2b88a
Provideradp_workforcenow
Provider Job Key560884
TitlePrior Authorization Rep- Consulting
Normalized Title—
Statusactive
Activeyes
Location TextRobinson, IL, US, Robinson, IL
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionIL
CityRobinson
Salary Raw18.75 To 23.44 (USD) Hourly
Salary Min18.75
Salary Max23.44
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15dc44c7-eab3-4503-a1bc-a66382fbd1f7&ccId=19000101_000001&lang=en_US&type=JS&jobId=560884&jwId=9201445898089_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15dc44c7-eab3-4503-a1bc-a66382fbd1f7&ccId=19000101_000001&lang=en_US&type=JS&jobId=560884&jwId=9201445898089_1
First Seen At2026-05-31 18:36:36Z
Last Seen At2026-06-06 13:29:40Z
Last Checked At2026-06-06 13:29:40Z
Last Changed At2026-06-06 13:29:40Z
Inactive At—
Source Posted At2026-04-28 14:51:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=15dc44c7-eab3-4503-a1bc-a66382fbd1f7|19000101_000001/date=2026-06-06/2026-06-06T13-29-39-302Z-836b590e1d533ff52683f4fcd9cc0f94500daaa2f836070c9c56ebdb52dbf858.json
Event Fields
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  "last_changed_at": "2026-06-06T13:29:40.383Z",
  "active_status": "active"
}
Parsed Structured
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  "remote_policy": null,
  "salary_period": "hour",
  "workplace_type": null,
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}
Extensions
{}
Native Structured
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    "requisitionDescription": "<div><p><br></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;' id=\"isPasted\"><strong><span style=\"font-family:Calibri;\">Position: &nbsp;Prior Authorization/Referral Rep &nbsp;</span></strong></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">Department: Consulting Services</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">Reports To: Director- Consulting Services</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">Direct Reports: &nbsp;None</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">FLSA Classification: &nbsp;Non-Exempt</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Position Summary</span></u></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">The Prior Authorization rep is responsible for providing indirect patient care through completion of practitioner ordered referrals and prior authorizations. Works closely with insurance companies to obtain authorization prior to scheduled surgeries and tests to ensure proper payment for such procedures. Establishes appointments for patients needing referral to an outside facility for continuation of care and/or specialty care. Supplies additional required information as needed to insurance companies and facilities to complete required tasks. Responds quickly and accurately to assist with referral and prior authorization tasks. &nbsp;&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">General Duties, Tasks and Responsibilities</span></u></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family:Calibri;font-size:13px;\">Follows medical records documentation guidelines regarding timeliness of reviews and completeness of documentation; obtains and documents accurate and thorough patient medical history including pertinent history, pain assessment, current medications, identified health risk factors and other needed information.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Completes pre-certification for testing/procedures; ensure notification of pre-certification for each patient is completed in a timely manner.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Assists outside clinics with courier duties, including collecting specimen samples from the satellite clinics and delivering and collecting supplies/mail.&nbsp;</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Performs all aspects of the position in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors; utilizes established hand-off communication protocols; maintains the security of the department.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Obtains proper authorization; follows medical records documentation guidelines regarding timeliness of reviews and completeness of documentation.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Works with patient to establish a referral appointment for the specialty or facility indicated by the ordering practitioner.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Provides supplemental information to insurance companies and practitioners/facilities to obtain pre-certification or a referral appointment.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Communicates established appointments and details with patients upon completion of a referral appointment.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Completely and accurately documents all communication with insurance companies, facilities, and patients.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Complies with all established safety procedures to ensure a safe environment for patients, visitors and staff.</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Participates in performance improvement activities&nbsp;</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Performs other duties as assigned</span></li></ul><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Education Requirements</span></u></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family:Calibri;font-size:13px;\">High School diploma / Equivalent Required</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Completion of an accredited Medical Assistant Program or HIM Degree/Certificate preferred</span></li></ul><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Certification/Licensure Requirements</span></u></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family:Calibri;font-size:13px;\">Current (CCMA) Medical Assistant Certification or HIM Degree/Certificate preferred</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">BLS preferred</span></li></ul><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Experience Requirements</span></u></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family:Calibri;font-size:13px;\">CCMA/HIM minimum 1 year Preferred</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Physician Office minimum 2 years Preferred</span></li></ul><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Computer Skills</span></u></p><div style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-family:Calibri;font-size:13px;\">Strong computer skills including Microsoft Excel and Outlook</span></li></ul></div><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><u><span style=\"font-size:13px;font-family:Calibri;\">Additional Skills</span></u></p><ul style=\"list-style-type: disc;\"><li><span style=\"font-family:Calibri;font-size:13px;\">Excellent communication and customer service skills</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Strong interpersonal, organizational and time management skills</span></li><li><span style=\"font-family:Calibri;font-size:13px;\">Ability to work independently, prioritize and complete tasks in a timely manner</span></li></ul><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size:13px;font-family:Calibri;\">&nbsp;</span></p><p><br></p></div>\n",
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