Insurance Authorization & Billing Specialist

Advocate Health; Rome (GA); On-site; USD 36,000 - 48,000; Full time

Job summary

Advocate Health in the United States is seeking a healthcare payer and authorization specialist to coordinate patient billing and insurance approvals for inpatient and outpatient services.

You will gather and analyze clinical data to determine codes, verify eligibility, initiate authorizations, and pre-register patients while educating them on required forms, all within HIPAA and department policies.

Qualifications

• Ability to problem solve in a high profile and high stress area.
• Ability to prioritize and organize workload.
• Mathematical aptitude, effective communication, and critical thinking skills.
• Understanding of basic human anatomy and medical terminology.
• Excellent verbal and written communication skills.
• General computer knowledge.

Responsibilities

• Acquire and maintain knowledge of payor requirements for authorizations and hospital billing.
• Consult with patient and departments for uninsured status and out-of-network situations; explain financial responsibility.

Skills

Problem solving

Prioritize workload

Mathematical aptitude

Communication

Critical thinking

Medical terminology

Verbal communication

Written communication

General computer knowledge

Education

High School Graduate

Job description

Advocate Health in the United States is seeking a healthcare payer and authorization specialist to coordinate patient billing and insurance approvals for inpatient and outpatient services.

You will gather and analyze clinical data to determine codes, verify eligibility, initiate authorizations, and pre-register patients while educating them on required forms, all within HIPAA and department policies.