Patient Financial Clearance Representative

Imagine Staffing Technology, An Imagine Company; United States; Remote; Full time

Job summary

Imagine Staffing Technology, une entreprise innovante dans le secteur de la santé, recherche un Représentant en Clearance Financière des Patients. Ce rôle est essentiel pour vérifier l'assurance, améliorer les processus et garantir une expérience positive pour les patients. Le candidat idéal est orienté vers le détail, possède d'excellentes capacités de communication et peut travailler efficacement dans un environnement virtuel. Ce poste offre la flexibilité du travail à distance et des opportunités de croissance au sein d'une organisation solidaire.

Qualifications

• Expérience requise dans des fonctions cléricales, de préférence dans un cadre de santé.
• Connaissance spécialisée des exigences des payeurs et des fonctions de clearance financière pré-service.
• Capable de suivre et fournir des instructions détaillées.

Responsibilities

• Vérifiez l'éligibilité de l'assurance et documentez les résultats.
• Surveillez les processus de clearance financière et identifiez les domaines à améliorer.
• Collaborez avec d'autres départements pour créer des changements opérationnels durables.

Skills

Problem-solving

Conflict-resolution

Detail-oriented

Time management

Verbal communication

Written communication

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Patient Financial Clearance Representative

Patient Financial Clearance Representative

Imagine Staffing Technology, An Imagine Company provided pay range

This range is provided by Imagine Staffing Technology, An Imagine Company. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$19.00/hr - $23.00/hr

Direct message the job poster from Imagine Staffing Technology, An Imagine Company

Join our healthcare client’s forward-thinking team in an integral position performing activities that ensure the financial clearance of a patient’s visit prior to patient arrival, including insurance verification, authorization, pre-registration, and more. In this role you’ll promote a positive patient experience and improved financial outcoming for the company. Our client offers the flexibility of remote work, a collaborative virtual environment, and the chance to grow within a supportive organization. If you are detail-oriented, driven, and passionate about making a difference in healthcare, we want to hear from you.

Role & Responsibility: Tasks That Will Lead To Your Success

• Verify insurance eligibility, benefits, and reimbursement requirements utilizing HealtheNet, KIICS, Eclipsys Eligibility, or other tools as determined by third party payers, including verbal/telephone and written communication.
• Document results on the patient record
• Monitor financial clearance processes and identify areas in need of improvement
• Stay apprised of changing healthcare trends and leverages technology and automation to develop and deliver new processes and operational improvements to staff, practices, and ultimately – patients
• Expand centralized financial clearance functions (non-patient-facing) across the Physician Revenue Cycle enterprise to:
• Realize economies of scale
• Increase efficiency, reduce operational cost
• Reduce patient registration times, by increasing pre-registration processes
• Decrease avoidable claim edits, denials, and write-offs through improved and best practice financial clearance processes
• Work with other department managers and staff, including physicians, managed care, contracting, billing and other professional staff as needed—to create lasting operational change and improvement
• Collaborate with AR Management/Billing team to understand trends in claim edits, initial denials, and write-offs that are potentially avoidable with improved upfront financial clearance processes
• Communicate with insurance companies to resolve authorization related discrepancies and prevent future denials

Skills & Experience: Qualifications That Will Help You Thrive

• High School Diploma or GED required
• 1 year of work experience in clerical functions, preferable in a healthcare setting required
• Specialized knowledge in payer requirements, insurance verification, authorization, and other pre-service financial clearance functions preferred
• Exemplary problem-solving and conflict-resolution skills
• Detail-oriented
• Skilled in synthesizing a wealth of information
• Exhibits excellent time management and prioritization abilities
• Communicates effectively both one-on-one and in a group setting
• Capable of following and providing detailed instructions both orally and through written communication
• Strong written and verbal communication skills for effective interaction with insurance companies, healthcare staff, and patients.
• Ability to assess situations and propose solutions to resolve claim issues.
• Extensive experience working with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Access, Project)

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Administrative

• Industries

  Hospitals and Health Care

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