Patient Financial Clearance Representative

Role Overview

• Supporting insurance and registration Workqueues and other patient access functions for Ambulatory Business Operations
• Ensuring 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
• Communicating patient financial responsibility
• Ensuring patient financial responsibility is communicated with consistency, clarity, and transparency
• Contributing to streamlining clinical operation work flows and improving revenue cycle operations and financial performance

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
• 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 EPIC 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
• 401(k) matching
• Paid time off