Remote Insurance Authorization Specialist

Hugh Chatham Health, Inc.; Oak Brook (IL); Remote; USD 30,000 - 45,000; Full time

Benefits offered by this job

Remote work

Benefits eligible

Job summary

Advocate Health is seeking a Pre-Arrival Authorization Specialist in Illinois for a full-time, remote role. You will manage payer requirements, authorize inpatient and outpatient services, and determine codes to support billing.

The ideal candidate has at least 1 year in healthcare or insurance, strong problem solving and communication skills, and comfort with HIPAA and computer systems. Schedule is Monday–Friday, 8:00am–4:30pm, with occasional weekend needs.

Qualifications

• Typically requires 1 year of experience in health care, insurance industry, call center or customer service setting.
• Must be able 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

• Acquires and maintains knowledge of payor requirements for authorizations and billing.
• Consults with patient and departments on uninsured status and next steps.
• Maintains knowledge of software to verify eligibility and authorization.
• Ensures PCP notification in case of HMO coverage.
• Manages pre-registration and data entry in ADT system.
• Generates documents for registration and educates patient on forms.
• Participates in staff meetings and ongoing education for scheduling needs.
• Attends mandatory in-services and safety training; participates in group projects.
• Answers questions about Advocate Aurora Health departments and HIPAA compliance.

Skills

Problem solving

Prioritize workload

Mathematical aptitude

Communication

Critical thinking

Anatomy knowledge

Medical terminology

Verbal communication

Written communication

Computer literacy

Education

High School Graduate

Job description

Advocate Health is seeking a Pre-Arrival Authorization Specialist in Illinois for a full-time, remote role. You will manage payer requirements, authorize inpatient and outpatient services, and determine codes to support billing.

The ideal candidate has at least 1 year in healthcare or insurance, strong problem solving and communication skills, and comfort with HIPAA and computer systems. Schedule is Monday–Friday, 8:00am–4:30pm, with occasional weekend needs.