Patient Financial Clearance Representative - One Capital Square - Remote
Core
Verifying insurance eligibility, confirming benefits, procuring referrals and authorizations, and collecting patient liability estimates to ensure financial clearance before appointments.
Role type
Patient Financial Clearance Representative
Builds
Revenue cycle operations and streamlined clinical workflows
Domain
Healthcare administration / Health insurance
Deliverable
client delivery
Required skills
Insurance eligibility verification, benefits confirmation, prior authorization procurement, referral coordination, patient liability calculation, deposit collection, payer communication, medical billing knowledge
Preferred skills
GE-IDX Patient Registration system usage, ICD/CPT coding, medical terminology
Responsibilities
Verify insurance plan eligibility and benefits using multiple systems; calculate out-of-pocket liability and collect deposits, co-pays, and deductibles; contact payers and patients to resolve registration data; secure PCP referrals and prior authorizations for procedures/testing; coordinate peer-to-peer reviews between physicians and medical directors; prepare forms for third-party payment.
Seniority
Individual Contributor, mid-level