Remote Insurance Authorization Specialist

Advocate Health; Oregon; Hybrid; USD 30,000 - 45,000; Full time

Benefits offered by this job

Paid Time Off

Health benefits

401(k) with employer match

Educational assistance

Parental leave

Job summary

Advocate Health is seeking a PreArrival Authorization Specialist for a fully remote, 40-hour work week. The role focuses on acquiring payor requirements, issuing authorizations, and ensuring accurate coding for reimbursement.

Qualifications include a High School diploma and about 1 year of healthcare/insurance experience, plus strong communication and organizational skills. Expect HIPAA compliance and collaboration with clinical and financial teams.

Qualifications

• High School graduation required.
• Typically 1 year of experience in health care, insurance, call center or customer service setting.
• HIPAA compliance knowledge and ability to maintain confidentiality.

Responsibilities

• Acquires and maintains knowledge of payor requirements for authorizations and hospital billing.
• Performs insurance authorization for inpatient and outpatient services and submits according to payor guidelines.
• Determines procedure codes for authorization to support appropriate reimbursement.

Skills

Problem solving

Prioritize workload

Mathematical aptitude

Effective communication

Critical thinking

Anatomy & medical terminology

Verbal & written communication

General computer knowledge

Education

High School Graduate

Job description

Advocate Health is seeking a PreArrival Authorization Specialist for a fully remote, 40-hour work week. The role focuses on acquiring payor requirements, issuing authorizations, and ensuring accurate coding for reimbursement.

Qualifications include a High School diploma and about 1 year of healthcare/insurance experience, plus strong communication and organizational skills. Expect HIPAA compliance and collaboration with clinical and financial teams.