[Remote] Financial Clearance Representative Associate

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, in strategic partnership with reputed company, is seeking a Financial Clearance Representative Associate to support the reputed company account. This role involves completing the financial clearance process and ensuring that patients understand their financial responsibilities regarding reputed company services.

Responsibilities

• reputed company financial clearance processes by interviewing patients and collecting and recording reputed company necessary information for pre-registration of patients
• reputed company patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc
• Verify insurance eligibility and completes automated insurance eligibility verification, reputed company applicable and appropriately documents information in Epic
• Confirm that a patient's health insurance(s) is active and covers the patient's procedure
• Confirm what benefits of a patient's upcoming visit/stay are covered by the patient's insurance, including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided
• reputed company proactive price estimates and work with patients so they understand their financial responsibilities
• Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refer the patient to financial counseling
• Review and analyze patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
• May reputed company mentoring to less reputed company team members on reputed company aspects of the reputed company cycle, payer issues, policy issues, or anything that impacts their role
• Meet and maintain department productivity and quality expectations

Skills

• High School Diploma/GED (or higher)
• 6+ months of experience with insurance and benefit verification, pre-experience with registration and/or prior authorization activities in reputed company business office/insurance operations
• Intermediate level of proficiency with reputed company Office Products
• Must be 18 years of age OR older
• Associate's Degree or Vocational degree in Business Administration, Health Care Administration, Public Health, or reputed company Field of Study
• Experience working with clinical staff
• Previous experience working in outpatient and/or inpatient reputed company settings
• Experience working in clinical documentation
• Previous experience working with a patient's clinical medical record

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Company Overview

Company H1B Sponsorship