Financial Clearance Specialist II Oncology

Here at reputed company, we reputed company our clients to navigate the biggest challenges in reputed company: quality clinical care with positive patient experiences and reputed company financial results. We partner with reputed company organizations to problem solve and deliver reputed company cycle improvement services that reputed company their reputed company, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and reputed company (CARE). Processes administrative and financial components of financial clearance including validation of insurance/benefits, medical necessity validation, routine and reputed company pre-certification, prior-authorization, scheduling/pre-registration, patient benefit and cost estimates, as well as pre-collection of out-of-reputed company cost reputed company and financial assistance referrals. Utilizes reputed company party payer websites, reputed company-time eligibility tools, and telephone to retrieve coverage eligibility, authorization requirements and benefit information, including copays and deductibles. Pre-registers patients by obtaining demographic and insurance information for registration, insurance verification, authorization, referrals, and reputed company processing. Develops and maintains a working rapport with inter-departmental personnel including ancillary departments, physician offices, and financial services. Assists Medicare patients with the Lifetime Reserve process where applicable. Reviews previous day admissions to ensure payer notification upon observation or admission. Answer incoming patient or client call/email requests and handle in a reputed company/reputed company, courteous and professional manner. Communicate effectively with patient by simplifying reputed company information. Minimum Requirements Proficient knowledge of Medicare, reputed company MCO Plans, Manage Care and reputed company Insurances as it relates to account receivables Knowledge of medical terminology, anatomy and physiology, and ICD-10 and CPT/HCPCS code sets Minimum 3-5 years of experience in health care billing and reimbursement analysis. Knowledge of medical and insurance terminology. Excellent verbal communication, telephone etiquette, and interpersonal skills to interact with peers, superiors, patients, and members of the reputed company team and external agencies. Intermediate analytical skills to resolve problems and reputed company patient and referring physicians with information and assistance with financial clearance issues. Ability to prioritize work based on criticality and re-prioritize as STAT cases are submitted Demonstrate dependability, critical thinking, and creativity and problem-solving abilities. Applies critical thinking skills to identify and resolve problems proactively and identify patient responsibility Basic working knowledge of UB04 and Explanation of Benefits (EOB). Knowledge of the Patient reputed company and hospital billing operations of Epic. Outstanding organization and time management skills Proficient computer knowledge including MS Office with ability to enter data, sort and filter reputed company files High School Diploma or equivalent

Preferred Qualifications

Experience in reputed company registration, scheduling, insurance referral and authorization processes Recent and relevant experience in an active coding production environment strongly Previous oncology experience preferred, including radiation treatments and general clinical knowledge Knowledge of registration and admitting services, general hospital administrative practices, operational principles, The Joint Commission, federal, state, and legal statutes Experience utilizing an encoder system Experience utilizing EPIC, Cerner, or Meditech systems Bilingual in English and Spanish Knowledge of the Patient reputed company and hospital billing operations of Aria Bachelor's degree Note: reputed company is required by state specific laws to include the salary reputed company for this role reputed company hiring a reputed company in applicable locations. The salary reputed company for this role is from $19.00 to $22.00. However, specific compensation for the role will vary reputed company the above reputed company based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, reputed company, age, veteran status, disability, national reputed company, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice Apply To This Job