Job Description
Job Description
Health Care Company seeking detail oriented full time Financial Clearance Coordinator/Representative to support the Revenue Cycle team in performing financial clearance functions such as completing all activities related to insurance verification and authorization.
Essential Functions
- Complete insurance verification, eligibility and benefit process and document the appropriate co-pay, deductible, co-insurance, maximum benefit levels and share of cost.
- Apply authorization rules and requirements for all payors within the assigned work queues.
- Communicate with respective surgical practices, clinics and hospitals to secure appropriate information to complete an authorization.
- Contact payers utilizing integrated electronic eligibility systems, payer website portals, and/or verbally via telephone.
- Prioritize and follow up on work assigned to ensure timely completion and that financial risk is minimized.
- Notify department management with any issues, instances of errors, or obstacles to successful completion of work.
- Manage schedules, and outbound and inbound telephone calls.
- Assist department management with special projects as needed.
Education Qualifications
- High School diploma or GED equivalent
Experience Qualifications
- Knowledge of patient registration, insurance verification and authorization processes.
- Knowledge of Epic Systems Healthcare Software helpful.
- Demonstrate communication, customer relations and organizational skills.
- Ability to work well in a team environment.
- Ability to multi-task with attention to detail.