Patient Access & Financial Clearance Specialist

Socket.dev; Tennessee; On-site; USD 38,000 - 46,000; Full time

Job summary

Vanderbilt Health is seeking an Administrative professional to assist in financial clearance for patient care and to screen patients for eligibility for financial assistance. The role involves obtaining insurance certification and validating coverage for office visits in a fast-paced healthcare setting.

You will evaluate patient assets, complete necessary paperwork, and guide patients through alternative funding resources.

Qualifications

• Problem solving to identify root causes and improve processes.
• Accurate data entry into electronic systems per instructions.
• Customer service orientation with focus on client needs and clear communication.
• Knowledge of insurance rules, claims, and coverage basics.

Responsibilities

• Obtains certification from insurance companies for all office visits.
• Verifies insurance information and registers cases in tracking system.
• Evaluates patient assets and liabilities to determine ability to pay.
• Reviews alternatives to admission and guides patient in applying for financial assistance.
• Completes pre-certification, credit applications, and other necessary paperwork.
• Performs investigative and follow-up work relating to reimbursement issues.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.
• Performs tasks to support and obtains pre-certifications from insurance companies

Skills

Problem Solving

Data Entry

Customer Service

Insurance Knowledge

Education

High School Diploma or GED

Job description

Vanderbilt Health is seeking an Administrative professional to assist in financial clearance for patient care and to screen patients for eligibility for financial assistance. The role involves obtaining insurance certification and validating coverage for office visits in a fast-paced healthcare setting.

You will evaluate patient assets, complete necessary paperwork, and guide patients through alternative funding resources.