Insurance Clearance Rep Sr

Advocate Health

Base: $22.90 - $34.35; bonus/equity: not specified...
Acquire payor requirements knowledge
Perform insurance authorization
Analyze clinical data for authorization
Acquires and maintains current knowledge of all payor requirements as it relates to patient/hospital responsibility for authorizations and hospital billing, including all Federal and State regulations

Job Summary

  • Acquires and maintains current knowledge of all payor requirements as it relates to patient/hospital responsibility for authorizations and hospital billing, including all Federal and State regulations.
  • Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.
  • 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

Acquires and maintains current knowledge of all payor requirements as it relates to patient/hospital responsibility for authorizations and hospital billing, including all Federal and State regulations.

Salary

Base: $22.90 - $34.35; Bonus/Equity: Not specified; Benefits: Eligible

Skills & Requirements

Must-have

  • Acquire payor requirements knowledge
  • Perform insurance authorization
  • Analyze clinical data for authorization
  • Verify eligibility and authorization software
  • Accurate patient demographic entry
  • Maintain patient record confidentiality

Nice-to-have

  • Problem solve high stress areas
  • Prioritize and organize workload
  • Mathematical aptitude
  • Basic human anatomy knowledge
  • Medical terminology understanding
  • Operational knowledge of departments

Key Requirements

  • High School Graduate
  • 2 years of experience in health care, insurance industry, call center, or customer service setting

Work Rights

Not specified

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