Insurance Authorization & Patient Registration Specialist

Advocate Health Care; Oak Brook (IL); On-site; USD 43,000 - 62,000; Full time

Job summary

Advocate Aurora Health seeks a Credentialing/Registration professional to handle patient registration, pre-registration, and insurance authorization. This role ensures accurate demographic and insurance entry, communicates financial responsibilities, and supports billing processes across inpatient and outpatient services.

Responsibilities include verifying eligibility, educating patients on required forms, and maintaining compliance with HIPAA and hospital policies.

Qualifications

• Knowledge of patient registration and pre-registration processes.
• Familiarity with HIPAA and confidentiality of patient data.
• Attention to detail in data entry and eligibility data.

Responsibilities

• Acquires and maintains knowledge of payor requirements for authorizations and billing.
• Performs insurance authorization for inpatient and outpatient services to support reimbursements.
• Communicates uninsured status and potential financial responsibility to patients and departments.
• Verifies eligibility using software programs and confirms authorization data.
• Identifies Medicaid eligibility risks and communicates with Financial Counseling and physicians.
• Manages registration-related communications and educates patients on required documents.
• Participates in staff meetings and pursues continuing education related to scheduling needs.
• Ensures confidentiality of patient records according to HIPAA and compliance policies.

Job description

Advocate Aurora Health seeks a Credentialing/Registration professional to handle patient registration, pre-registration, and insurance authorization. This role ensures accurate demographic and insurance entry, communicates financial responsibilities, and supports billing processes across inpatient and outpatient services.

Responsibilities include verifying eligibility, educating patients on required forms, and maintaining compliance with HIPAA and hospital policies.