Patient Financial Clearance Representative

This range is provided by Imagine Staffing Technology, An Imagine Company. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$19.00/hr - $23.00/hr

Direct message the job poster from Imagine Staffing Technology, An Imagine Company

Join our healthcare client’s forward-thinking team in an integral position performing activities that ensure the financial clearance of a patient’s visit prior to patient arrival, including insurance verification, authorization, pre-registration, and more. In this role you’ll promote a positive patient experience and improved financial outcoming for the company. Our client offers the flexibility of remote work, a collaborative virtual environment, and the chance to grow within a supportive organization.

If you are detail-oriented, driven, and passionate about making a difference in healthcare, we want to hear from you.

Role & Responsibility:
Tasks That Will Lead To Your Success

• Verify insurance eligibility, benefits, and reimbursement requirements utilizing Healthe Net, KIICS, Eclipsys Eligibility, or other tools as determined by third party payers, including verbal/telephone and written communication.
• Document results on the patient record
• Monitor financial clearance processes and identify areas in need of improvement
• Stay apprised of changing healthcare trends and leverages technology and automation to develop and deliver new processes and operational improvements to staff, practices, and ultimately – patients
• Expand centralized financial clearance functions (non-patient-facing) across the Physician Revenue Cycle enterprise to:
• Realize economies of scale
• Increase efficiency, reduce operational cost
• Reduce patient registration times, by increasing pre-registration processes
• Decrease avoidable claim edits, denials, and write-offs through improved and best practice financial clearance processes
• Work with other department managers and staff, including physicians, managed care, contracting, billing and other professional staff as needed—to create lasting operational change and improvement
• Collaborate with AR Management/Billing team to understand trends in claim edits, initial denials, and write-offs that are potentially avoidable with improved upfront financial clearance processes
• Communicate with insurance companies to resolve authorization related discrepancies and prevent future denials

Skills & Experience:
Qualifications That Will Help You Thrive

• High School Diploma or GED required
• 1 year of work experience in clerical functions, preferable in a healthcare setting required
• Specialized knowledge in payer requirements, insurance verification, authorization, and other pre-service financial clearance functions preferred
• Exemplary problem-solving and conflict-resolution skills
• Detail-oriented
• Skilled in synthesizing a wealth of information
• Exhibits excellent time management and prioritization abilities
• Communicates effectively both one-on-one and in a group setting
• Capable of following and providing detailed instructions both orally and through written communication
• Strong written and verbal communication skills for effective interaction with insurance companies, healthcare staff, and patients.
• Ability to assess situations and propose solutions to resolve claim issues.
• Extensive experience working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Access, Project)

• Seniority level Associate

• Employment type
  
  Contract

• Job function Administrative
• Industries Hospitals and Health Care

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