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Advocate Health Care · 16 hours ago

Pre-Service Specialist 1

Oak Brook, IL

Full-time

Onsite

Entry Level

$21/hr - $32/hr

1+ years exp

Advocate Health Care is a healthcare organization looking for a Pre-Service Specialist 1. The role involves contacting patients to gather and verify demographic and insurance information, managing pre-certification processes, and ensuring effective communication regarding patient liabilities and scheduling.

Clinical TrialsDeliveryHealth Care

H1B Sponsor Likely

Responsibilities

Contacts the patient to obtain/validate demographics and insurance information. Completes insurance verification and eligibility checks and documents patient liability

Collects and accurately documents initial pre-certification/authorization information if available. Initiates the process for obtaining a required referral/authorization if not obtained

Calculates patient liabilities based on scheduled procedures and previous balances. Informs the patient of his/her liability and discusses financial obligations with the patient including requesting payment

Communicates to physician office/patient the organization expectation of payment and/or having an authorization on file prior to service, explaining service may be re-scheduled

Schedule patient visits using guidelines established within scheduling system. Recognizes exceptional scheduling situations and escalates as necessary. Completes necessary online EPIC questionnaires needed to complete scheduled exam

Provides accurate, detailed information regarding test preparations, time of patient arrival and any other directional information

Works assigned EPIC Scheduled Order Work Queue, following the department’s work flow process on appropriately transferring, deferring or removing orders from the work queue

Proactively communicates issues involving customer service and process improvement opportunities to management

Maintains excellent public relations with patients, families and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information

Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans

Qualification

Insurance verificationEPIC electronic medical recordMathematical aptitudeMedical terminologyMicrosoft OfficeEffective communicationCritical thinking

Required

High School Graduate

Typically requires 1 year of experience in health care, insurance industry, call center or customer service setting

Demonstrated ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available

Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements

Mathematical aptitude, effective communication skills and critical thinking skills

Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral/pre-certification/authorization processes

Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals

Ability to speak effectively to customers or employees of organization, maintaining a pleasant, professional demeanor

Ability to handle sensitive and confidential information according to internal policies

Ability to problem solve in a high profile and high stress area, working independently to set and meet deadlines and prioritize work

Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, Microsoft Office, Internet Explorer and phone technology

Must be able to sit the majority of the workday

Occasionally lifts up to 10 lbs

Exposed to a normal office environment

Operates all equipment necessary to perform the job

Company

Advocate Health Care

Advocate Health Care is an integrated healthcare delivery system based in Illinois, United States.

Founded in 1995

Oak Brook, Illinois, USA

10001+ employees

http://www.advocatehealth.com

H1B Sponsorship

Advocate Health Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (26)

2024 (9)

2023 (6)

2022 (16)

2021 (8)

2020 (7)