Patient Access & Financial Clearance Specialist

Savista, LLC; Alpharetta (GA); On-site; USD 28,000 - 32,000; Full time

Job summary

Savista, LLC is seeking a Financial Clearance Specialist to ensure seamless processing of patient financial clearance by coordinating with insurance payors, physicians, and patients. You will collect demographic and insurance information and explain patient financial policies and rights.

The role requires at least 3 years of experience in patient registration within healthcare settings, strong attention to detail, and excellent communication skills to resolve issues with patients and providers.

Qualifications

• 3+ years of experience with patient registration in a hospital or physician office, obtaining demographic and financial information.
• Proficient with commercial and government insurance plans, payer networks, government resources.
• Proficient with medical and insurance terminology.
• Strong customer service and communication skills.
• Attention to detail and accuracy.
• Ability to work with multiple stakeholders and use Microsoft Office.

Responsibilities

• Process and verify administrative and financial components of financial clearance including validation of insurance benefits, medical necessity, pre-certification, prior-authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
• Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
• Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance.
• Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services.
• Address issues and provide information and support to both patients and physicians concerning financial clearance matters.
• Process stat request prioritization.
• Verify demographic information and apply payor changes to registration.
• Verify, edit and/or remove user defined referral counts editing final status of referrals.
• Edit the scheduled date within the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates.
• Apply critical thinking skills to identify and resolve problems proactively.

Skills

Patient registration

Insurance verification

Authorization support

Microsoft Office Suite

Customer service

Attention to detail

Communication skills

Education

High School Diploma

Job description

Savista, LLC is seeking a Financial Clearance Specialist to ensure seamless processing of patient financial clearance by coordinating with insurance payors, physicians, and patients. You will collect demographic and insurance information and explain patient financial policies and rights.

The role requires at least 3 years of experience in patient registration within healthcare settings, strong attention to detail, and excellent communication skills to resolve issues with patients and providers.