Insurance Clearance Rep

Advocate Aurora Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Acquire payor requirements
Perform insurance authorization
Analyze clinical data
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: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Paid Time Off programs, Health and welfare benefits, Flexible Spending Accounts, Family benefits, Defined contribution retirement plans, Educational Assistance Program

Skills & Requirements

Must-have

  • Acquire payor requirements
  • Perform insurance authorization
  • Analyze clinical data
  • Determine procedure codes
  • Consult on uninsured status
  • Manage incoming/outgoing calls
  • Accurate patient data entry
  • Maintain HIPAA compliance

Nice-to-have

  • Problem solve in high stress
  • Prioritize and organize workload
  • Mathematical aptitude
  • Effective communication
  • Critical thinking skills
  • Basic human anatomy knowledge
  • Medical terminology understanding

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter