Financial Clearance Representative L3 – Financial Counselor

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

📋 Description

• Reach out to patients or their representatives to gather precise coverage details.

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

• Accurately locate patients within the EPIC database and minimize duplicate records.

• Evaluate patients' financial capacity to pay and refer them to financial counseling staff when necessary.

• Submit eligibility inquiries to payors to confirm current coverage.

• Assist uninsured patients with Presumptive Medicaid, Financial Assistance, and HCAP applications.

• Foster working relationships with medical personnel, referring physicians, and their representatives.

• Ensure a timely transition to the contact center when patients are cleared and ready for scheduling.

• Uphold confidentiality in line with the Office of Compliance and HIPAA regulations.

• Notify management regarding system and workflow issues.

• Generate estimates and collect copayments and deposits as required.

• Provide education to patients regarding estimated liabilities and benefits.

• Carry out FCR Pre-Reg and FCR OON/Special Coverages/Pre-Cert responsibilities as assigned.

• Perform additional duties as assigned.

⛳️ Requirements

• Associate's Degree or higher, or a High School diploma/GED with over 2 years of experience in insurance, healthcare, or a related field.

• Outstanding customer service abilities, enthusiasm, and empathy.

• Capacity to thrive in a fast-paced environment.

• Superior verbal and written communication skills.

• High degree of interpersonal skills to manage sensitive, confidential situations and build effective working relationships.

• Commitment to attendance, punctuality, professionalism, attention to detail, cooperation, and courtesy.

• Capability to escalate issues when necessary.

• Proficient in PC applications, including MS Office and Internet usage.

• Ability to meet employer training requirements.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Health reimbursement accounts.

• Flexible spending accounts.

• Retirement plan.

• Employee assistance program.

• Paid time off.

• Holidays.

• Wellness program.