Prior Authorization Specialist

Monday-Friday, 8 hour days

• High school and two years' experience in third party payers, healthcare administrative support or general clerical experience.
• Authorization process experience preferred.
• Associate or bachelor's degree preferred.

• Expedites sorting of surgical cases and checks status of prior authorization with shortest lead times.
• Documents prior authorization activities appropriately and communicates necessary information to SCORE Prior Authorization team.
• Evaluates processes, problem solving, and participates in departmental continuous improvement programs to enhance workflow processes and patient-centered outcomes.
• Maintains a working knowledge of computer systems supported by the department.
• Prioritizes and organizes daily work to ensure completion on time.
• Maintains professional development.
• Assists management in developing training materials.
• Performs other duties as assigned.

• Strong oral and written communication skills
• Ability to exercise independent judgment in unusual or stressful situations
• Strong computer skills
• Ability to establish and maintain effective working relationships

• This is a virtual and in-office position.
• Subject to many interruptions
• Operates keyboard, photocopier, telephone, and other office equipment
• Work may be stressful at times
• Occasionally subject to irregular hours

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.