Insurance Clearance Rep Sr

Advocate Health

Base: $22.90 - $34.35; bonus/equity: not specified...
Not specified
Maintain payor requirements knowledge
Perform insurance authorization
Analyze clinical data
Advocate Health is seeking an Insurance Clearance Rep Sr who will be responsible for managing insurance authorizations and ensuring compliance with payor guidelines. The ideal candidate should have at least two years of experience in healthcare or a related field and possess strong communication and problem-solving skills

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: 85

Advocate Health is seeking an Insurance Clearance Rep Sr who will be responsible for managing insurance authorizations and ensuring compliance with payor guidelines. The ideal candidate should have at least two years of experience in healthcare or a related field and possess strong communication and problem-solving skills.

Salary

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

Skills & Requirements

Must-have

  • Maintain payor requirements knowledge
  • Perform insurance authorization
  • Analyze clinical data
  • Verify eligibility and authorization
  • Accurate demographic and insurance entry
  • HIPAA and compliance policies

Nice-to-have

  • Problem solve in high stress
  • Prioritize and organize workload
  • Mathematical aptitude
  • Effective communication
  • Critical thinking skills
  • Understanding of medical terminology

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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