Insurance Clearance Rep

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Maintain payor requirements knowledge
Perform insurance authorizations
Analyze clinical data for payors
Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly

Job Summary

  • Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.
  • Manages incoming and outgoing calls to complete pre-registration with patients.
  • Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more.

Matching Summary

Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.

Salary

Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Yes

Skills & Requirements

Must-have

  • Maintain payor requirements knowledge
  • Perform insurance authorizations
  • Analyze clinical data for payors
  • Consult on uninsured/uncovered services
  • Communicate patient financial responsibility
  • Verify eligibility and authorization software
  • Manage patient calls for pre-registration
  • Accurate demographic and insurance entry
  • Generate and process registration documents
  • Maintain patient record confidentiality

Nice-to-have

  • Problem-solve in high-stress areas
  • Prioritize and organize workload
  • Mathematical aptitude
  • Effective communication skills
  • Critical thinking skills
  • Understanding of human anatomy
  • Knowledge of medical terminology
  • Operational knowledge of departments

Key Requirements

  • High School Graduate
  • 1 year of experience in health care, insurance industry, call center or customer service setting
  • None Required

Work Rights

Not specified

Tailored Resume

Cover Letter