Patient Access & Insurance Authorization Specialist

Advocate Health Care; Oak Brook (IL); On-site; USD 38,000 - 46,000; Full time

Job summary

Advocate Aurora Health in Oak Brook, IL is seeking an Insurance Authorization/Pre-Registration Clerk to manage payor requirements, authorize payments, and assist with patient registration.

The role involves verifying eligibility, communicating with patients on coverage, and ensuring accurate data entry in the ADT system. A High School diploma and 1 year of related experience are preferred.

Qualifications

• 1 year of experience in health care, insurance industry, call center or customer service setting.
• Knowledge of insurance authorizations and payer guidelines.
• Ability to communicate clearly and manage high-stress situations.

Responsibilities

• Acquires and maintains current knowledge of payor requirements for authorizations and hospital billing.
• Consults with patients and departments on uninsured/out-of-network situations and explains financial responsibility.
• Verifies eligibility and authorization using software and ensures accurate data entry in the ADT system.
• Notifies PCP for HMO coverage and communicates Medicaid eligibility issues to finance and physicians.
• Pre-registers and registers patients, handles demographic and insurance entry.
• Prepares documents for patient registration and educates patients on required forms.
• Attends trainings and safety in-services; supports department processes in scheduling.
• Maintains confidentiality per HIPAA and internal policies.

Job description

Advocate Aurora Health in Oak Brook, IL is seeking an Insurance Authorization/Pre-Registration Clerk to manage payor requirements, authorize payments, and assist with patient registration.

The role involves verifying eligibility, communicating with patients on coverage, and ensuring accurate data entry in the ADT system. A High School diploma and 1 year of related experience are preferred.