Remote - Insurance Clearance Rep Senior

Advocate Health

Base: $22.90 - $34.35; bonus/equity: not specified...
Fully remote
Maintain payor requirements knowledge
Perform insurance authorizations
Verify patient eligibility
Advocate Health is seeking a Senior Insurance Clearance Representative to work remotely, responsible for managing insurance authorizations and ensuring compliance with payor requirements. The position requires a strong background in healthcare administration, customer service, and excellent communication skills

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

Match Score: 85

Advocate Health is seeking a Senior Insurance Clearance Representative to work remotely, responsible for managing insurance authorizations and ensuring compliance with payor requirements. The position requires a strong background in healthcare administration, customer service, and excellent communication skills.

Salary

Base: $22.90 - $34.35; Bonus/Equity: Not specified; Benefits: Benefits Eligible

Skills & Requirements

Must-have

  • Maintain payor requirements knowledge
  • Perform insurance authorizations
  • Verify patient eligibility
  • Accurate demographic and insurance entry
  • HIPAA and compliance adherence

Nice-to-have

  • Problem solve in high stress
  • Prioritize and organize workload
  • Mathematical aptitude
  • Basic human anatomy knowledge
  • Continuing education participation

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter