Insurance Clearance Representative - Remote

Overview

The Insurance Clearance Representative plays a key role in the revenue cycle by ensuring patient accounts are verified and accurate information is entered for smooth billing and reimbursement. This position helps minimize payment delays, reduce denials, and improve operational efficiency through proactive communication and benefit verification.

In Short

• Verify accuracy of funding source entry during registration.
• Ensure correct alignment of funding sources for claims transmission.
• Implement weekly batch eligibility checks to identify coverage lapses.
• Conduct in-depth validation of patient benefits.
• Collaborate to refine policies for claim processing accuracy.
• Ensure accurate documentation of insurance and credit card information.
• Identify and resolve potential revenue cycle issues.
• Provide feedback for operational improvements.
• Generate reports on authorization trends and denial rates.
• Support a positive patient experience through effective communication.

Requirements

• Bachelor’s degree in healthcare administration or related field preferred.
• 2+ years of experience in revenue cycle management or medical billing.
• Proficiency with Experian or similar eligibility systems.
• Strong understanding of insurance policies and claims processes.
• Exceptional attention to detail and ability to manage multiple priorities.
• Excellent communication skills for collaboration.
• Knowledge of behavioral health billing and coding practices preferred.
• Familiarity with PHP and IOP insurance requirements preferred.

Benefits

• Comprehensive medical/dental/vision plans.
• 401k program with company matching.
• Generous PTO including competitive parental leave.
• Continuous training through CEU seminars.
• Opportunities for growth and development.