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Financial Clearance Specialist

2 months ago

Kirkland, Washington, United States Pediatrix Full time
Job Summary

We are seeking a highly skilled Financial Clearance Representative to join our team at EvergreenHealth. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely patient registration, insurance verification, and financial clearance processes.

Key Responsibilities
  • Pre-register patients prior to scheduled admission, ensuring accurate demographic and billing information is entered into our system.
  • Verify insurance eligibility, obtain co-pay amounts, and medical/clinical authorization for care as needed.
  • Utilize electronic systems and payer websites for verification of insurance, authorizations, and referrals.
  • Collaborate with physician's offices to ensure authorization is in place prior to scheduled service when required.
  • Provide inpatient notification based on payer requirements.
  • Collect copays based on departmental guidelines.
  • Follow EvergreenHealth's Financial Clearance Policy.
  • Obtain authorization or referral (as required) and enter into patients' encounter.
  • Identify the need for financial counseling and refer patients to the Financial Counselor.
Requirements
  • High School graduate or equivalent.
  • Excellent communication skills to effectively obtain information from patients, physicians, and other clients.
  • Ability to function independently, organize work, multitask, and establish priorities.
  • Numerical ability is required to discuss financial arrangements, including deposit requirements.
Desired Qualifications
  • Vocational training or college degree in the healthcare setting.
  • 1 year prior experience in a hospital or medical setting.
  • Working knowledge of insurances.
  • Knowledge of medical terminology.
Benefits

We offer a comprehensive benefits package, including medical, vision, and dental insurance, on-demand virtual healthcare, health savings account, flexible spending account, life and disability insurance, retirement plans, tuition assistance, and more.