Insurance Clearance Rep Sr

Callowayhealth

Unknown, ,
Base: $22.90 - $34.35; bonus/equity: not specified...
Not specified
Acquire and maintain payor requirements knowledge
Perform insurance authorization
Analyze clinical data for authorization
Callowayhealth is seeking a Senior Insurance Clearance Representative to manage insurance authorizations and patient registration processes. The ideal candidate will have experience in healthcare or customer service, possess strong communication skills, and be familiar with medical terminology

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

Callowayhealth is seeking a Senior Insurance Clearance Representative to manage insurance authorizations and patient registration processes. The ideal candidate will have experience in healthcare or customer service, possess strong communication skills, and be familiar with medical terminology.

Salary

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

Skills & Requirements

Must-have

  • Acquire and maintain payor requirements knowledge
  • Perform insurance authorization
  • Analyze clinical data for authorization
  • Determine appropriate procedure codes
  • Consult with patients on uninsured status
  • Communicate with patients on authorization
  • Verify eligibility and authorization software
  • Identify at-risk Medicaid balances
  • Pre-register and register patients
  • Accurate entry of patient demographic/insurance
  • Generate and process required documents
  • Maintain patient record confidentiality

Nice-to-have

  • Problem solve in high stress area
  • Prioritize and organize workload
  • Mathematical aptitude
  • Effective communication skills
  • Critical thinking skills
  • Understanding of human anatomy
  • Medical terminology knowledge
  • Excellent verbal and written communication
  • General computer knowledge
  • Participate in group projects
  • 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

Tailored Resume

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