Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly
Job Summary
Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.
Ensures accurate entry of patient demographic and insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data.
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
Performs all insurance authorization of inpatient and outpatient services, by accurately collecting and analyzing clinical data in support of payor guidelines and submits accordingly.
Salary
Base: $22.90 - $34.35
Skills & Requirements
Must-have
Acquire payor requirements knowledge
Perform insurance authorization
Analyze clinical data for authorization
Determine appropriate procedure codes
Consult on uninsured/out-of-network status
Communicate patient financial responsibility
Verify eligibility and authorization software
Complete registration procedures
Accurate demographic and insurance entry
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
Understanding of medical terminology
Excellent verbal and written communication
General computer knowledge
Participate in group projects
Key Requirements
High School Graduate
2 years of experience in health care, insurance industry, call center, or customer service setting