Financial Clearance Specialist
2 days ago
EvergreenHealth is seeking a skilled Financial Clearance Representative to join our team. 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.
Key Responsibilities- Pre-register patients prior to scheduled admission, ensuring accurate demographic and billing information.
- 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.
- 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 to discuss financial arrangements, including deposit requirements.
- 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.
EvergreenHealth offers 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.
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