About The Position
The Patient Access Representative focused on Financial Clearance and Authorizations helps ensure that patient care is approved, covered, and financially clear before services are delivered. The role verifies insurance eligibility and benefits, obtains required authorizations and referrals, reviews accounts for financial clearance, and resolves issues before services are rendered. It also involves communicating with patients, insurance companies, providers, and internal teams about coverage, approvals, estimates, and financial responsibility. The representative may assist with payment arrangements and referrals to financial assistance programs, while maintaining accurate documentation and protecting patient confidentiality.
Requirements
- High school diploma, GED, or equivalent, or two years of applicable experience in lieu of education.
- Two years of customer service and/or healthcare experience.
- Strong customer service and communication skills.
- Attention to detail and comfort working with insurance and authorization processes.
- Ability to explain financial and coverage information clearly and confidently.
Responsibilities
- Verify insurance eligibility and benefits for scheduled and unscheduled services.
- Obtain prior authorizations and referrals as required by payers.
- Review patient accounts for financial clearance and resolve issues before services are rendered.
- Communicate with insurance companies, providers, and internal teams to secure approvals.
- Explain coverage, estimates, and financial responsibility to patients.
- Assist with payment arrangements and financial assistance referrals when appropriate.
- Maintain accurate documentation and protect patient confidentiality.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
