Patient Financial Clearance Representative - One Capital Square - Remote
Core
Verify insurance eligibility and benefits, calculate patient liability, and secure prior authorizations and referrals before patient appointments.
Role type
Patient Financial Clearance Representative
Builds
Revenue cycle operations and financial performance for a health system
Domain
Healthcare administration and insurance verification
Required skills
Insurance eligibility verification, benefit confirmation, prior authorization processing, referral coordination, liability calculation, patient communication, data entry, software proficiency
Preferred skills
GE-IDX system experience, ICD/CPT coding knowledge, medical terminology
Responsibilities
Verify insurance plan eligibility and benefits, calculate out-of-pocket liability and collect deposits, secure PCP referrals and prior authorizations, communicate patient financial responsibility, coordinate peer-to-peer reviews, prepare third-party payment forms
Seniority
Mid-level, individual contributor