Patient Financial Clearance Representative I (Remote)
Core
Verifies insurance eligibility, determines benefits, and secures authorizations for patient services across various payers.
Role type
Patient Financial Clearance Representative
Builds
Insurance authorizations and financial clearance for patient care services
Domain
Healthcare administration / Insurance verification
Required skills
Insurance verification, benefit determination, payer regulations knowledge, Medicare/Medi-Cal/Workers Comp expertise, authorization rules application, risk assessment, data analysis, written communication, phone communication
Preferred skills
Epic system experience
Responsibilities
Completes insurance verification and eligibility processes, interprets co-pays and deductibles, contacts patients for updated information, applies authorization rules, assesses data for sponsorship, follows up on pending requests, escalates coverage risks, manages phone calls, documents account details
Seniority
Entry-level, individual contributor