Patient Financial Clearance Representative - Remote

Overview

The Patient Financial Clearance Representative is responsible for managing all financial clearance activities for patients prior to their appointments, ensuring clear communication regarding their financial responsibilities.

In Short

• Manage financial clearance for assigned patients.
• Verify insurance eligibility and health plan benefits.
• Calculate and collect patient liability estimates.
• Communicate financial responsibilities clearly to patients.
• Ensure compliance with health system goals.
• Utilize various software applications for patient data management.
• Collaborate with primary care physicians for referrals.
• Coordinate prior authorizations with health plans.
• Maintain knowledge of insurance plans and requirements.
• Handle multiple priorities in a fast-paced environment.

Requirements

• Minimum three years of experience in a healthcare setting.
• Experience with insurance authorization and referral processes.
• Strong customer service skills.
• High School Diploma or equivalent required.
• Preferred education in healthcare or medical billing.
• Experience with medical billing systems is a plus.
• Knowledge of ICD and CPT coding is preferred.
• Ability to work independently and manage patient information effectively.
• Strong problem-solving and communication skills.
• Ability to adapt to a fast-paced environment.

Benefits

• Opportunity to work in a dynamic healthcare environment.
• Engagement with a team of top healthcare professionals.
• Potential for career growth within the organization.
• Access to ongoing training and professional development.
• Ability to positively impact patient care and experience.