Clinic Receptionist-RHC - PRN as needed

Hillsboro Area Hospital Inc•Hillsboro, IL

6d•$18 - $19•Onsite

About The Position

The Clinic Receptionist/Precertification Specialist serves as the first point of contact for patients and supports front-office operations in a Rural Health Clinic (RHC) primary care setting. This role is responsible for patient registration, scheduling, insurance verification, and obtaining prior authorizations (precertification’s) for services. The position ensures accurate patient information, efficient workflow, and positive patient experience while supporting clinical and administrative teams.

Requirements

High school diploma or equivalent required.
Basic Life Support (BLS) required or willing to obtain within 30 days of hire.

Nice To Haves

Prior experience in a medical office, front desk, or healthcare administrative role preferred.
Experience with insurance verification, prior authorizations, or medical billing strongly preferred.
Familiarity with electronic medical record (EMR) systems preferred.

Responsibilities

Supports the delivery of patient-centered service in a primary care clinic setting.
Greets and registers patients, verifies demographic and insurance information, and ensures accuracy in the electronic medical record (EMR).
Answer and directs incoming phone calls, schedules appointments, and manages appointment calendars efficiently.
Performs insurance verification and eligibility checks prior to patient visits.
Obtains and manages prior authorizations (precertification’s) for procedures, diagnostic tests, medications, and referrals as required by payers.
Communicates with insurance companies, providers, and patients regarding authorization requirements, status updates, and denials.
Maintains tracking systems for authorizations, referrals, and outstanding documentation to ensure timely completion.
Collects copayments, deductibles, and outstanding balances in accordance with clinic policies.
Assists with patient check-in and check-out processes, including scheduling follow-up appointments and referrals.
Ensures required forms, consents, and documentation are completed and filed appropriately.
Coordinates with clinical staff to ensure all necessary documentation is available for insurance authorization requests.
Maintains accurate and timely documentation of all interactions and processes within the EMR.
Protects patient confidentiality and complies with HIPAA regulations in all interactions.
Supports patient flow by communicating delays and maintaining organized front-desk operations.
Assists patients with general inquiries regarding appointments, billing, and insurance processes.
Maintains a clean, organized, and professional front office environment.
Supports scanning, faxing, and other administrative tasks as needed.
Assists with reporting and audits related to insurance verification and authorizations.
Performs other duties as assigned to support clinic operations.
Upholds and promotes the organization’s Mission, Vision, Values, and Service Excellence standards.
Demonstrates professional, respectful, and ethical behavior in all interactions.
Maintains strict confidentiality in compliance with HIPAA and organizational policies.
Adheres to all federal, state of Illinois, and organizational policies, procedures, and regulatory standards.
Demonstrates strong teamwork, communication, and customer service skills.
Maintains a safe and organized work environment in accordance with infection control and safety standards.
Demonstrates reliability, punctuality, and accountability in assigned duties.
Maintains certification and participates in ongoing training and competency validation.
Demonstrates cultural sensitivity and provides respectful care to diverse patient populations.
Exhibits flexibility and adaptability in response to changing clinic needs and priorities.
Serve as a positive role model and contribute to a collaborative, team-oriented work environment.
Completes and maintains all required education and/or training requirements.
Complies with HIPAA regulations and always maintains patient confidentiality.
Follows and maintains all lawful safety, health requirements and regulations, and follow protocols for required protective equipment (PPE).
Promptly reports safety issues, job-related injury or illness, near misses, etc. in SafetyZone.
Follows Hillsboro Health Standards of Behavior.