Remote Patient Financial Clearance Specialist

VCUHSA VCU Health System Authority; Raleigh (NC); Remote; USD 24,000 - 36,000; Full time

Job summary

VCU Health seeks a Patient Fin Clearance Rep to manage financial clearance for scheduled appointments. You will verify registrations, insurance eligibility, plan benefits, and collect patient liabilities before services. Strong customer service and knowledge of varied payer plans are essential.

You will coordinate with financial counselors and PCPs for referrals and authorizations, ensuring clear communication of patient financial responsibilities and compliance with payment policies.

Qualifications

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Responsibilities

• Collects and updates patient demographic and insurance plan information
• Verifies insurance plan eligibility and benefits using multiple system and web-based tools
• Calculates out-of-pocket liability and collects deposits, co-pays, deductibles, and balances before service
• Refers patients to financial counselors for assistance with payment options
• Contacts PCPs to secure referrals and health plan prior authorizations
• Coordinates prior authorizations between physicians and health plans
• Prepares forms to obtain payment from third party payers
• Maintains knowledge of commercial, managed care and government health plans
• Keeps up-to-date on insurance authorization and referral requirements

Skills

Customer service

Insurance knowledge

Data accuracy

Education

High School diploma

Tools

GE-IDX Patient Registration

Medical billing software

ICD/CPT coding

Job description

VCU Health seeks a Patient Fin Clearance Rep to manage financial clearance for scheduled appointments. You will verify registrations, insurance eligibility, plan benefits, and collect patient liabilities before services. Strong customer service and knowledge of varied payer plans are essential.

You will coordinate with financial counselors and PCPs for referrals and authorizations, ensuring clear communication of patient financial responsibilities and compliance with payment policies.