Insurance Clearance Rep Sr

Advocate Health

Base: $22.90 - $34.35; bonus/equity: not specified...
Acquire payor requirements knowledge
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: $22.90 - $34.35; 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 knowledge
  • Perform insurance authorization
  • Analyze clinical data
  • Determine appropriate procedure codes
  • Consult with patients and departments
  • Maintain HIPAA compliance

Nice-to-have

  • Problem solve in high stress area
  • Prioritize and organize workload
  • Mathematical aptitude
  • Critical thinking skills
  • Basic human anatomy understanding
  • Active participation in group projects

Key Requirements

  • 2 years of experience
  • High School Graduate

Work Rights

Not specified

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