Senior Revenue Cycle Associate – Financial Clearance

This is a fully remote position, open to applicants in California, +9 more states.

📋 Description

• Ensure that patient appointments are financially approved prior to the service date.

• Act as a specialist and reliable resource for colleagues regarding intricate registration, insurance, workflow, and patient financial responsibility issues.

• Confirm patient insurance eligibility and benefits.

• Calculate and document estimates of patient financial liability.

• Obtain prior authorization, provide Notices of Admission, secure referrals, and verify medical necessity.

• Escalate cases where financial clearance cannot be achieved to the relevant stakeholders.

• Address discrepancies related to insurance coverage and authorization identified through quality assurance tools.

• Manage denials associated with referrals, authorizations, notifications, non-coverage, and medical necessity, including coordinating rebills, appeals, and retro authorizations.

• Collaborate with providers, payers, patients, and hospital staff.

• Carry out responsibilities accurately and promptly while delivering outstanding customer service.

• Operate within a remote call center environment that is free from distractions and background noise.

• Adhere to privacy, safety, and security protocols while utilizing equipment and materials appropriately.

⛳️ Requirements

• Skilled in typing.

• Basic understanding of medical terminology.

• Capable of communicating effectively and professionally in English, both verbally and in writing.

• Strong critical thinking and problem-solving abilities.

• High school diploma or equivalent.

• Ability to work in a remote call center environment without distractions and background noise.

• Preferably one year of relevant experience in the medical field.

🏝️ Benefits

• Attractive salary and comprehensive benefits package.

• Opportunities for professional growth and career advancement.

• Supportive workplace with a cooperative team atmosphere.

• Extensive healthcare coverage.

• Retirement savings plan.

• Paid time off along with flexible scheduling options.

• Student loan repayment assistance program.