Base: $22.90 - $34.35 ph; bonus/equity: not specif...
Fully remote
Complete insurance verification and eligibility checks
Initiate prior authorization and referral processes
Communicate with patients and physician offices
The role involves completing insurance verification, collecting pre-certification information, and initiating the authorization process for specialty medications
Job Summary
The role involves completing insurance verification, collecting pre-certification information, and initiating the authorization process for specialty medications.
Employees act as a liaison between physicians, patients, and pharmacy benefit managers to resolve appeals and secure reimbursement or alternative options.
Advocate Health offers comprehensive benefits including health and welfare coverage, retirement plans, and educational assistance programs.
Matching Summary
The role involves completing insurance verification, collecting pre-certification information, and initiating the authorization process for specialty medications.
Salary
Base: $22.90 - $34.35 per hour; Bonus/Equity: Not specified; Benefits: Paid Time Off, Medical/Dental/Vision, Retirement match, Educational Assistance
Skills & Requirements
Must-have
Complete insurance verification and eligibility checks
Initiate prior authorization and referral processes
Communicate with patients and physician offices
Utilize Epic work queue systems
Manage incoming and outgoing calls
Nice-to-have
Proactive communication for process improvement
Knowledge of medical terminology
Ability to identify financial assistance programs
Collaborative teamwork with clinical staff
Problem-solving in high-stress environments
Key Requirements
High School Graduate education required
Typically requires 1 year of healthcare or insurance experience