Financial Clearance Specialist
2 weeks ago
We are seeking a highly skilled Financial Clearance Specialist to join our team at Brockton Hospital. As a key member of our financial operations team, you will play a critical role in ensuring that all necessary information is obtained and verified for proper financial reimbursement of services provided.
Key Responsibilities:
- Access and review patient accounts to determine financial clearance status
- Verify demographic and patient contact information
- Ensure accurate guarantor type and information
- Validate coverage's and resolve discrepancies
- Collect and validate order-related information
- Follow up with ordering providers to verify CPT codes
- Verify Primary Care Physician (PCP) information and ensure appropriate referrals
- Process referrals and prepare Advance Notice Beneficiary (ABN) or waiver
- Analyze clinical documentation and submit precertification requests
- Escalate challenging accounts to provider representatives
Requirements:
- High school graduate or equivalent
- At least two years prior experience in a healthcare setting
- Knowledge of insurance coverage, reimbursement, and medical terminology
- Excellent customer service and communication skills
About Brockton Hospital:
Brockton Hospital is a premier local provider of quality, personalized medical services in Southeastern Massachusetts. We are committed to delivering exceptional patient care and experience.
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