Financial Clearance Representative II
About The Position
As a Financial Clearance Representative at TriHealth, you play a vital role in helping patients navigate the financial side of their healthcare journey with confidence and compassion. You'll work directly with patients, insurance providers, and clinical teams to secure authorizations, verify benefits, and ensure a seamless experience before care is delivered. At TriHealth, you'll be part of a collaborative, patient-centered organization that values your expertise, supports your professional growth, and empowers you to make a meaningful impact every day. Join a team that combines purpose-driven work, exceptional benefits, and a commitment to improving the health of the communities we serve.
Requirements
- High School Degree
- Medical terminology course or equivalent knowledge
- Knowledge of Medical terminology
- Insurance vocabulary and Processes
- Government and Non-government third party benefits and coverage rules
- Understanding of the impact financial clearance services has on revenue cycle operations and financial performance
- 1-2 years experience Customer Service Healthcare
- Dedication to treating both internal and external constituents as clients and customers
- Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
- Background in managed care or patient billing
- 1-2 years experience Technical Healthcare
- Must have one year experience in insurance verification or precertification experience
- Experience with automated patient account system or online verification systems
- Must reside in OH, KY, or IN
Responsibilities
- Verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and/or notification as required by third party coverage providers.
- Verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered.
- Discuss complex medical terms and prior treatment with physician office staff.
Benefits
- Medical
- Dental
- Vision
- Paid time off
- Retirement savings plans
- Tuition reimbursement
- Competitive shift differentials
- Opportunities for professional growth
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
