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Pre-Service Clearance Specialist

2 months ago

Crown Point, United States NorthShore Health Centers Full time

The Pre-Service Clearance Specialist will support the efficiency and effectiveness of all pre-service clearance operations such as prior authorizations, patient financial clearance, referral support, and insurance/benefit verifications prior to the patient’s office visit. Pre-Service Clearance will work closely with all aspects of the operational functions of NorthShore to ensure proper patient registration, revenue cycle sustainment, and administration services.

The Pre-Service Clearance Specialist will actively identify, analyze, and resolve issues associated with the prior registration process. Provide knowledge of insurance eligibility and guidelines to all staff to ensure proper claims handling as well as education for patients. Act as a liaison between the clinical, revenue cycle, and patient services departments to prepare for patient’s visit and protect the integrity of the patient’s healthcare needs.

The Pre-Service Clearance Specialist will exhibit behaviors consistent with the standards for organizational values of NorthShore Health Centers. Demonstrates actions consistent with NorthShore Health Centers “expectations” as duties are performed on a daily basis.

Scope of practice includes the following areas:

Financial Counseling Prior Authorizations Referral Support Financial Clearance Insurance/Benefit Verification Coverage Discovery

*This job description is not an all-inclusive list of functions and tasks. Over the length of employment these functions and tasks may change. Diversity Statement NorthShore Health Centers celebrates and supports the diversity of its workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. The following questions are entirely optional.

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