Patient Financial Clearance Representative - Remote

Overview

The Patient Financial Clearance Representative is responsible for managing financial clearance activities for patients prior to their appointments, ensuring clarity and transparency in communicating patient financial responsibilities.

In Short

• Responsible for confirming completeness of patient registration data.
• Verify insurance eligibility and confirm health plan benefits.
• Procure PCP referrals and health plan authorizations.
• Calculate and collect patient liability estimates.
• Communicate patient financial responsibilities clearly.
• Impact health system goals by streamlining operations.
• Minimum three years of experience in a healthcare setting required.
• Strong customer service skills are essential.
• High School Diploma required; post-high school education preferred.
• May require extended hours to resolve backlogs.

Requirements

• Experience with commercial, managed care, and governmental health insurance plans.
• Experience in insurance plan authorization and referral requirements.
• Previous experience in medical billing is preferred.
• Strong knowledge of ICD and CPT coding is a plus.
• Ability to handle multiple priorities in a fast-paced environment.
• Proficient in using various software applications, including Microsoft Office.
• Excellent communication skills are necessary.
• Ability to perform independent actions to collect and update patient information.
• Knowledge of insurance plan authorization is crucial.
• Ability to work collaboratively with healthcare professionals.

Benefits

• Opportunity to work in a leading healthcare system.
• Engagement in a supportive and collaborative environment.
• Access to comprehensive training and development.
• Potential for career advancement within the organization.
• Work with a diverse and talented team of healthcare professionals.