Insurance Clearance Rep

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Acquire and maintain payor requirements knowledge
Perform insurance authorization
Analyze clinical data for payor guidelines
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: Yes

Skills & Requirements

Must-have

  • Acquire and maintain payor requirements knowledge
  • Perform insurance authorization
  • Analyze clinical data for payor guidelines
  • Communicate with patients regarding financial responsibility
  • Verify eligibility and authorization using software
  • Accurate patient demographic and insurance entry

Nice-to-have

  • Problem solve in high stress areas
  • Prioritize and organize workload
  • Mathematical aptitude
  • Critical thinking skills
  • Understanding of human anatomy and medical terminology
  • Operational knowledge of Advocate Aurora Health departments

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