Payor Access & Clearance Specialist

Children's National Hospital; Silver Spring (MD); On-site; USD 43,000 - 72,000; Full time

Job summary

Children's National Hospital in Silver Spring, MD is seeking a Payor Clearance Associate to verify insurance eligibility, obtain authorizations, and collect patient responsibility to ensure payor clearance before services.

You will work with physicians' offices, payers, and care teams to reduce delays and improve financial outcomes for scheduled services. A high school diploma and healthcare experience are required.

Qualifications

• Requires high school diploma or GED.
• Healthcare environment experience preferred.
• Strong communication with physicians, patients, and payors.

Responsibilities

• Pre-register patients, verify insurance eligibility and benefits.
• Obtain pre-certifications or referrals and collect patient responsibility.
• Provide payor clearance and authorization support to ensure timely claims.

Skills

Communication

Customer service

Verbal skills

Interpersonal skills

Attention to detail

Education

High School Diploma or GED

Tools

EMR systems

Eligibility tools

Job description

Children's National Hospital in Silver Spring, MD is seeking a Payor Clearance Associate to verify insurance eligibility, obtain authorizations, and collect patient responsibility to ensure payor clearance before services.

You will work with physicians' offices, payers, and care teams to reduce delays and improve financial outcomes for scheduled services. A high school diploma and healthcare experience are required.