Patient Financial Clearance Representative

Role Overview

• Responsible for the entire scope of financial clearance activities for assigned patients before the scheduled appointment date.
• Confirming completeness of patient registration data, verifying insurance eligibility, confirming health plan benefits.
• Procuring PCP referrals and health plan authorizations, calculating/ collecting patient liability estimate.
• Restricting/redirecting out of network patient, and communicating patient financial responsibility.
• Ensures patient financial responsibility is communicated with consistency, clarity and transparency.

Requirements

• Minimum three (3) years of previous experience in a health care setting
• Experience in commercial, managed care and governmental health insurance plans
• One (1) year experience in insurance plan authorization and referral requirements or Medical billing
• Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc.
• Strong customer service skills and patients/customers centered focus in a positive manner in all situations
• Previous experience using GE-IDX Patient Registration or other medical billing/registration system (preferred)
• Previous experience in ICD and CPT coding (preferred)
• Previous experience using medical terminology (preferred)

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements