Financial Clearance Representative L2 – OON/Special Coverages

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

📋 Description

• Utilize integrated health information systems and telecommunication technology to enhance customer interactions.

• Conduct accurate searches for patients in the EPIC database to minimize duplicate patient records.

• Evaluate patients' financial capabilities and refer them to financial counseling when necessary.

• Submit eligibility requests to payors to confirm current coverage.

• Provide clinical, insurance, and demographic information to payors for precertification purposes.

• Verify insurance eligibility using a variety of tools.

• Request and generate referrals for designated populations.

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

• Contact external organizations to confirm employment and insurance details for Workers’ Compensation cases.

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

• Supply accurate information to billing and case management to facilitate claim payment.

• Foster productive relationships with medical staff, referring physicians, and their designees to gather complete, accurate, and timely clinical and financial information.

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

• Notify management regarding system and workflow issues.

• Execute FCR Pre-Reg tasks and other assigned responsibilities.

⛳️ Requirements

• An Associate's degree or higher, or a high school diploma/GED with at least 2 years of experience in insurance, healthcare, or a related field.

• Outstanding customer service skills characterized by enthusiasm and compassion.

• Capability to thrive in a fast-paced work environment.

• Excellent verbal and written communication abilities.

• Strong interpersonal skills to manage sensitive and confidential situations, while establishing effective working relationships.

• Commitment to attendance, punctuality, professionalism, detail orientation, cooperativeness, and courtesy.

• Ability to escalate issues when necessary.

• Familiarity with coding, insurance, and Federal, State, and third-party billing/reimbursement requirements.

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

• Ability to meet employer training requirements.

• Capability to perform FCR Pre-Reg duties and support that area as assigned.

🏝️ Benefits

• Medical insurance

• Dental insurance

• Vision insurance

• Health reimbursement accounts

• Flexible spending accounts

• Retirement benefits

• Employee assistance program

• Paid time off

• Holidays

• Wellness program

• Flexible, competitive benefit package