Insurance Clearance Rep

Callowayhealth

Unknown, , US
Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Acquire payor requirements knowledge
Perform insurance authorizations
Analyze clinical data for authorizations
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 payor requirements knowledge
  • Perform insurance authorizations
  • Analyze clinical data for authorizations
  • Verify patient eligibility and authorization
  • Accurate patient demographic and insurance entry
  • Maintain patient record confidentiality

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