Remote Insurance Authorization Specialist

Advocate Health; United States; Remote; USD 30,000 - 45,000; Full time

Benefits offered by this job

Health benefits

Dental

Vision

Life Insurance

Short-Term Disability

Long-Term Disability

Flexible Spending Accounts

Educational Assistance Program

Job summary

Advocate Health is seeking a Remote Pre-Arrival Authorization specialist for the Enterprise Revenue Cycle team. The role focuses on insurance authorizations, eligibility, and patient education while ensuring accurate data entry and compliance.

Typical duties include communicating with patients and departments about coverage, verifying information, and adhering to HIPAA and policy standards. The position is full-time, 40 hours weekly, with occasional weekends.

Qualifications

• Ability 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 authorization and hospital billing, ensuring proper coding for reimbursement.
• Consults with patients and departments on uninsured status and potential financial responsibility; explains next steps.
• Maintains knowledge of software to verify eligibility and authorization.
• Ensures identification and notification of Primary Care Physician for certain coverages and Medicaid rules.
• Pre-registers and registers patients, entering accurate demographic and insurance data.
• Generates and processes documents for registration and educates patients on forms requiring signatures.
• Attends in-services and participates in department projects to solve issues.
• Maintains confidentiality of patient records per HIPAA and compliance policies.

Skills

Problem solving

Prioritization

Communication

Critical thinking

Medical terminology

Verbal and written communication

General computer knowledge

Education

High School Graduate

Job description

Advocate Health is seeking a Remote Pre-Arrival Authorization specialist for the Enterprise Revenue Cycle team. The role focuses on insurance authorizations, eligibility, and patient education while ensuring accurate data entry and compliance.

Typical duties include communicating with patients and departments about coverage, verifying information, and adhering to HIPAA and policy standards. The position is full-time, 40 hours weekly, with occasional weekends.