Financial Clearance Specialist
Confluent Health•UNAVAILABLE, UNAVAILABLE
•Remote
About The Position
Reporting to the Manager of Financial Clearance, the Financial Clearance Specialist will be responsible for ensuring that financial clearance is obtained prior to services being rendered, patient experience protocols are followed, and clearance is obtained in a timely manner to reduce related denials.
Requirements
- High School Diploma required
- 1-2 years of financial clearance experience in a medical or health setting preferred.
- Strong computer skills relevant to the position required.
- Experience using Excel, Power point and word required.
- Knowledge of and ability to articulate explanations of Medicare, Medicaid, HIPAA, and other government assistance programs and regulations.
Responsibilities
- Verifies insurance benefits for all new patients prior to the initial evaluation.
- Reverifies benefits as needed due to insurance changes/updates.
- Ensures patient demographics and insurance benefits are entered accurately in the EMR.
- Obtains authorizations for services when required by the insurance plan.
- Ensure authorization details are entered accurately into the EMR.
- Monitors authorizations, visit counts, eligibility status to ensure no loss of revenue due to expired authorizations, exceeded visit counts or ineligibility.
Benefits
- Generous PTO Plan
- Health, Dental, and Vision insurance
- 401(k) with company match up to 4%
- Unique Maternity Benefits
- New Parent Perks
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
