Remote - Insurance Clearance Rep Senior

Advocate Health

Base: $22.90 - $34.35; bonus/equity: not specified...
Acquire and maintain payor requirements knowledge
Perform insurance authorization for services
Determine appropriate procedure codes
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: Yes

Skills & Requirements

Must-have

  • Acquire and maintain payor requirements knowledge
  • Perform insurance authorization for services
  • Determine appropriate procedure codes
  • Consult on uninsured/out-of-network status
  • Communicate financial responsibility to patients
  • Verify eligibility and authorization
  • Accurate patient demographic and insurance entry

Nice-to-have

  • Problem solve in high stress areas
  • Prioritize and organize workload
  • Mathematical aptitude
  • Effective communication
  • Critical thinking skills
  • Understanding of human anatomy and medical terminology
  • Active participation in group projects

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

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