Skip to main content
Tallo logoTallo logo

Find Jobs

Find Jobs Near You – Available Work in Your Location

Skip to job details
Apply for this opportunity

To apply for this job, you'll continue to an external website or email application.

Apply Offsite
OSF HealthCare

Prior Authorization Specialist

Pay: $42,557/yr
Posted: 6 weeks ago
Location: Peoria, IL (Onsite)
Last Updated: 2 days ago
Hours: Full-Time
Expires: 10/4/2026

Career Insights for Medical Claims Processor / Representative

See where this job fits in the broader career landscape. Knowing your career path helps you see what's possible from here.

Scorecard

Based on Illinois data

Review key factors to help you decide if this role fits your goals. How is this calculated?

Were these scores useful?

What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$45,566 / year median in Illinois

-7% projected decline

Explore Career

Job Description

Prior Authorization Specialist OSF HealthCare - 3.4 Peoria, IL Job Details Full-time $18.80 - $22.12 an hour 3 hours ago Qualifications High school diploma or GED Desktop applications Typing Productivity software
Full Job Description Total Rewards:
OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $18.80 - $22.12/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.
Overview:
POSITION SUMMARY
The Prior Authorization Specialist in the OSF Medication Prior Authorization department is responsible for receiving new medication authorization requests and accurately initiating these requests. Works collaboratively with patients, caregivers, providers, pharmacies, office staff and insurance companies to ensure that patient care needs are met regarding medication prior authorizations. The Specialist impacts the clinical and financial risk to the organization when obtaining insurance precertification or authorization.
Qualifications:
REQUIRED QUALIFICATIONS
Education:
High School/GED.
Experience:
1 year of experience in a clinical environment or medical insurance setting.
Other skills/knowledge:
Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software.
PREFERRED QUALIFICATIONS
Demonstrated knowledge of patient care activities as well as provider practice office. Electronic health record experience, especially the ambulatory module within EPIC CMA, MOA, or the equivalent (CNA, CPhT, or similar).
Other requirements/information:
Accurate typing speed of at least 35 words per minute. Proven organizational skills in coordinating services with co-workers and other departments/services. Responds to stressful situations in a calm, rational manner and cooperates with all to facilitate integrated patient care that exceeds expectation. OSF HealthCare is an Equal Opportunity Employer.