Job Description

Job Description

Health Care Company seeking detail oriented full time Financial Clearance Coordinator/Representative to support the Revenue Cycle team in performing financial clearance functions such as completing all activities related to insurance verification and authorization.

Essential Functions

• Complete insurance verification, eligibility and benefit process and document the appropriate co-pay, deductible, co-insurance, maximum benefit levels and share of cost.
• Apply authorization rules and requirements for all payors within the assigned work queues.
• Communicate with respective surgical practices, clinics and hospitals to secure appropriate information to complete an authorization.
• Contact payers utilizing integrated electronic eligibility systems, payer website portals, and/or verbally via telephone.
• Prioritize and follow up on work assigned to ensure timely completion and that financial risk is minimized.
• Notify department management with any issues, instances of errors, or obstacles to successful completion of work.
• Manage schedules, and outbound and inbound telephone calls.
• Assist department management with special projects as needed.

Education Qualifications

• High School diploma or GED equivalent

Experience Qualifications

• Knowledge of patient registration, insurance verification and authorization processes.
• Knowledge of Epic Systems Healthcare Software helpful.
• Demonstrate communication, customer relations and organizational skills.
• Ability to work well in a team environment.
• Ability to multi-task with attention to detail.