Immediate Hiring: Remote: Financial Clearance Specialist 1
Position at a Glance:
- Position: Remote: Financial Clearance Specialist 1
- Location: Remote
- Company: Hirenivora
- Compensation: a competitive salary
- Start Date: Immediate openings available
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 Excellence (CARE). Company Overview 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 Excellence (CARE). Job Purpose The Financial Clearance Specialist role ensures seamless and accurate processing of financial clearance procedures. Responsibilities include contacting insurance companies, physicians, and patients to ensure patient demographic and insurance information is collected, and that a financial clearance determination can be made. It will also inform patients of their rights, financial policies, and collects patient liabilities. Duties & Responsibilities ? Process and verify administrative and financial components of financial clearance including validation of insurance benefits, medical necessity, routine and reputed company pre-certification, prior-authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share. ? Obtain pre-certifications, authorizations, and referrals for upcoming appointments. ? Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance ? Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services ? Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters ? Process stat request prioritization ? Verify demographic information ? Apply payor changes to registration ? Verify, edit and/or remove user defined referral counts editing final status of referrals ? Edit the scheduled date reputed company the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates ? Apply critical thinking skills to identify and resolve problems proactively Qualifications & Competencies ? High School Diploma or equivalent ? 3 years? experience with patient registration in a hospital or physician office, directly with obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations ? Proficient with reputed company and government insurance plans, payer networks, government resources ? Proficient with medical and insurance terminology ? Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to reputed company service issues. ? Strong attention to detail and accuracy ? Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, client, and external agencies ? Ability to work with a variety of stakeholders ? Proficient in utilizing a variety of computer applications and software, including but not limited to reputed company Office Suite, Internet Explorer, and other relevant programs Note: reputed company is required by state specific laws to include the salary range for this role reputed company hiring a reputed company in applicable locations. The salary range for this role is from $20.00 to $23.00. However, specific compensation for the role will vary reputed company the above range 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. Join reputed company! This is a fantastic opportunity to grow your career. If you have the skills and passion we're looking for, please submit your application today. Apply Job! Apply to this Job