Financial Clearance Specialist

Confluent Health; Kentucky; On-site; USD 42,000 - 60,000; Full time

Job summary

Colorado In Motion is seeking a billing specialist for a remote role. The ideal candidate will manage insurance verification, data entry in the EMR, and ensure authorizations are in place before services are rendered.

Efficient communication with front office and third parties is essential to maintain smooth billing processes and to identify potential financial clearance risks. A minimum high school diploma and accounting basics are required.

Qualifications

• High School Diploma or equivalent required.
• Two or more years of patient account management experience preferred.
• Basic accounting skills required.

Responsibilities

• Completes accurate & timely insurance verification and data entry in the EMR system.
• Ensures services scheduled have approved authorization as required by payer and procedure before service.
• Processes third-party payer authorization requests with complete data (CPT/diagnosis codes).
• Communicates with front office staff to maintain a clean billing process and flag financial clearance risks.
• Maintains productivity and quality performance expectations.
• Provides cross-coverage for team members when needed.

Skills

Patient account management experience

Basic accounting

Education

High School Diploma or equivalent

Job description

Overview

Are you organized, love solving problems, and have previous medical billing experience? Look no further, we believe that billing matters can be resolved amicably and the person we are looking for is an excellent communicator and problem solver. Discussing billing matters with insurance carriers and patients, and/or other third parties can often turn into negative experiences. We want to add a person to our team who strives to resolve billing matters without aggression, but with skill and diligence that will result in a positive experience. If you are looking to be part of a dedicated team in a great working environment then look no further.

Responsibilities

This is a remote position

• Completes accurate & timely insurance verification. Enters data in an accurate manner on the EMR software.
• Ensures services scheduled have approved authorization as required by payer and procedure prior to service.
• Completes accurate and timely third-party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
• Communicates efficiently with front office staff to ensure a clean billing process and escalates financial clearance risks as appropriate.
• Maintains productivity and quality performance expectations.
• Provides cross-coverage, when needed, for other team members.

Qualifications

Billing Specialist Qualifications:

• High School Diploma or equivalent
• Two or more years of patient account management experience in either a hospital or physician practice setting is preferred
• Basic accounting skills are required