Pharmacy Insurance Clearance Specialist
Advocate Aurora Health
full-time
Posted on:
Location Type: Office
Location: Oakbrook Terrace • Illinois • Wisconsin • United States
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Salary
💰 $23 - $34 per hour
Job Level
About the role
- Participates in department staff meetings and keeps abreast of continuing education to ensure effective communication and to maintain skill competency
- Attends all mandatory in-services 100% and completes all mandatory safety in-services and skill competencies as required
- Seeks out education opportunities to increase knowledge in department procedures and actively participates in group projects to problem solve departmental improvement opportunities
- Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units
- Ensures accurate entry of patient demographic and insurance information in the ADT system
- Manages incoming and outgoing calls to complete pre-registration with patients
- Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage
- Maintains knowledge of all stand-alone computer software programs to verify eligibility
Requirements
- High School Graduate
- Typically requires 1 year of experience in health care, insurance industry, call center, or customer service setting
- Demonstrate ability to identify and understand issues and problems
- Ability to problem solve in a high profile and high stress area
- Mathematical aptitude, effective communication, and critical thinking skills
- Ability to prioritize and organize workload
- Excellent verbal and written communication skills
- Knowledge of medical terminology
- Demonstrated technical proficiency including experience with insurance authorization/eligibility tools, EPIC, Microsoft Office, Internet browser and telephony systems.
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical terminologyinsurance authorization toolseligibility toolsEPICMicrosoft Officetelephony systemscomputer entrydata entryproblem solvingmathematical aptitude
Soft Skills
effective communicationcritical thinkingability to prioritizeorganizational skillsverbal communicationwritten communicationability to identify issuesability to work under stressteam participationactive participation