Insurance Clearance Representative

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Not specified
Acquire payor requirements knowledge
Perform insurance authorization
Collect and analyze clinical data
Advocate Health is seeking an Insurance Clearance Representative to manage insurance authorizations and pre-registration processes, ensuring compliance with payor requirements and effective communication with patients. The role requires a high school diploma along with customer service experience in healthcare or insurance settings

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

Match Score: 75

Advocate Health is seeking an Insurance Clearance Representative to manage insurance authorizations and pre-registration processes, ensuring compliance with payor requirements and effective communication with patients. The role requires a high school diploma along with customer service experience in healthcare or insurance settings.

Salary

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

Skills & Requirements

Must-have

  • Acquire payor requirements knowledge
  • Perform insurance authorization
  • Collect and analyze clinical data
  • Determine appropriate procedure codes
  • Manage incoming and outgoing calls
  • Accurate demographic and insurance entry

Nice-to-have

  • Problem solve in high stress area
  • Prioritize and organize workload
  • Mathematical aptitude
  • Understanding of human anatomy
  • Active participation in group projects

Key Requirements

  • 1 year of experience
  • High School Graduate
  • Basic human anatomy knowledge
  • Medical terminology knowledge

Work Rights

Not specified

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