Financial Clearance Representative – L2

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Utilize integrated health information systems and telecommunications technology to ensure accessible, coordinated, and seamless interactions with customers.

• Accurately search for patients within the EPIC database to minimize the occurrence of duplicate patient records.

• Evaluate patients’ financial capabilities and refer them to financial counseling when deemed appropriate.

• Submit eligibility inquiries to payors for the verification of current coverage.

• Provide payors with clinical, insurance, and demographic details necessary for precertification.

• Confirm insurance eligibility through various verification tools.

• Request and establish referrals for designated populations as required.

• Pre-certify services, acquire authorization numbers, and input medical, ICD, and CPT codes into patient accounts.

• Reach out to external entities to confirm employment and insurance details for workers’ compensation cases.

• Collaborate with the Veterans’ Administration to ensure services are appropriately covered and authorized.

• Deliver accurate information to billing and case management teams to facilitate claim payments.

• Maintain professional relationships with medical personnel, referring physicians, and their designees to secure comprehensive and timely clinical and financial information.

• Provide exceptional customer service while adhering to HIPAA and Office of Compliance confidentiality standards.

• Notify management of any system and workflow issues.

• Perform Financial Clearance Representative Pre-Reg responsibilities and assist in that area as assigned.

• Undertake additional duties as assigned.

⛳️ Requirements

• An associate degree or higher, or a high school diploma/GED accompanied by 2+ years of experience in insurance, healthcare, or a related field.

• Outstanding customer service abilities, enthusiasm, compassion, and capacity to thrive in a fast-paced environment.

• Superior verbal and written communication skills.

• High level of interpersonal skills suitable for sensitive and confidential circumstances.

• Capability to build effective working relationships with patients, physicians, team members, and others.

• Consistent attendance, punctuality, professionalism, attention to detail, cooperation, and courteousness.

• Ability to escalate concerns when necessary.

• Knowledge and comprehension of coding, insurance, and Federal, State, and third-party billing/reimbursement protocols.

• Proficiency with PC applications, including MS Office and Internet usage.

• Ability to fulfill employer training requirements.

🏝️ Benefits

• Medical insurance

• Dental insurance

• Vision insurance

• Health reimbursement accounts

• Flexible spending accounts

• Retirement benefits

• Employee assistance program

• Paid time off

• Paid holidays

• Wellness program