Senior Patient Financial Clearance Representative

This is a fully remote position, open to applicants in Alabama, +14 more states.

📋 Description

• Gather necessary patient information and verify that registration data is accurate and complete.

• Confirm insurance eligibility and input data into the designated systems.

• Collect co-pays when applicable.

• Provide assistance with financial counseling and ensure financial clearance.

• Communicate with patients, clinical staff, and providers regarding any postponements of services due to eligibility or benefit issues.

• Organize and prioritize patient accounts that require demographic, payer, and appointment data prior to visits.

• Independently resolve missing or incorrect critical data elements.

• Make necessary additions and changes to patients’ EPIC accounts in accordance with registration policies and procedures.

• Assess if plan modifications should impact both past and future scheduled appointments.

• Reach out to patients or guarantors via phone, portal, email, or mail to finalize or update information.

• Attain an EPIC Registration Audit Program accuracy rate of 97% or higher.

• Verify health plan eligibility and benefits before outpatient visits using online resources, health plan websites, and phone confirmations.

• Contact patients or guarantors if eligibility or benefit confirmation fails.

• Reschedule or cancel appointments when additional time is necessary to confirm eligibility or benefits.

• Offer real-time training, troubleshooting support, coaching, and mentorship to new representatives.

• Assist in the development and enhancement of job-specific skills.

• Collaborate on diversity, equity, and inclusion initiatives throughout the health system.

• Undertake other assigned responsibilities and engage in special projects that support VCUHS and the Department.

⛳️ Requirements

• High School Diploma or equivalent required.

• A minimum of three (3) years of prior experience in a healthcare environment.

• Familiarity with commercial, managed care, and governmental health insurance plans.

• At least one (1) year of experience related to insurance plan authorization and referral requirements or medical billing.

• Previous experience using personal computers and various software applications, including Microsoft Office and email.

• Strong customer service skills with a focus on patient and customer satisfaction.

• A commitment to diversity, equity, and inclusion through ongoing development, modeling inclusive behaviors, and proactively addressing bias.

• Experience with Patient Registration or other medical billing/registration systems, ICD and CPT coding, and medical terminology is preferred.

• Must reside in one of the specified remote states: Alabama, Arkansas, Florida, Georgia, Kansas, Kentucky, Maryland, Michigan, Missouri, Mississippi, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia.

🏝️ Benefits

• Competitive salary and comprehensive health benefits.

• Opportunities for professional development and career advancement.

• Flexible work arrangements.

• Supportive work environment fostering diversity and inclusion.