Obtains demographic, clinical, financial and insurance information in the process of obtaining medical authorizations for patient tests, procedures and admissions.
Performs registration activities including response to real-time eligibility verification and financial clearance.
Pre-determines need for payer notification/authorization for scheduled medical services.
Investigates confidential patient financial data for purposes of determining patient authorization requirements.
Initiates and secures prior authorization if required.
Functions as a liaison between physician, office staff, insurance companies, patients and hospital in obtaining vital financial information.

Education: High School Diploma or GED required.
Experience: Minimum of three years experience in a physician's office, clinic, hospital business office, or related area dealing with prior authorizations.
Effective communication skills.
Demonstrates working knowledge and understanding of both governmental and private third-party payor benefits, requirements and regulations.
Demonstrates working knowledge of ICD-9 and CPT coding and medical terminology.

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement.
Relocation assistance (geographic and position restrictions apply).
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
Employee Referral Rewards program.
Mount Carmel offers DailyPay
if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Financial Clearance Specialist II

Key skills