Insurance Authorization & Pre-Registration Specialist

Atrium Health; Rome (GA); On-site; USD 38,000 - 46,000; Full time

Job summary

Advocate Aurora Health in Georgia seeks an Insurance Authorization Clerk to support inpatient and outpatient services by collecting and analyzing clinical data to determine payor guidelines and codes for authorization. The role requires coordination with patients and departments to ensure accurate billing and reimbursement.

The position involves pre-registration, eligibility verification, and ongoing HIPAA-compliant communication with patients, physicians, and financial counselors.

Qualifications

• High School Diploma or equivalent.
• Typically requires 1 year of experience in health care, insurance industry, call center or customer service.

Responsibilities

• Perform insurance authorization for inpatient and outpatient services.
• Verify eligibility and authorization using computer software.
• Assist with pre-registration and patient intake.
• Explain financial responsibilities to patients and coordinate with departments.
• Maintain HIPAA compliance and protect patient confidentiality.

Skills

Problem solving

Prioritization

Communication

Analytical thinking

Medical terminology

Computer literacy

Teamwork

Education

High School Graduate

Job description

Advocate Aurora Health in Georgia seeks an Insurance Authorization Clerk to support inpatient and outpatient services by collecting and analyzing clinical data to determine payor guidelines and codes for authorization. The role requires coordination with patients and departments to ensure accurate billing and reimbursement.

The position involves pre-registration, eligibility verification, and ongoing HIPAA-compliant communication with patients, physicians, and financial counselors.