Pre-Service Financial Clearance
Sullivan County Community Hospital•Sullivan, IN
•Onsite
About The Position
This role focuses on pre-service financial clearance, ensuring patients are informed about their financial obligations before receiving services. Key responsibilities include verifying insurance, notifying patients of copay amounts, and identifying patients who may need financial assistance. The position requires strong communication and organizational skills, with the ability to work independently and collaboratively within a healthcare setting.
Requirements
- High school diploma or equivalent
- One year patient access, medical billing, or prior authorization experience
- Possesses medical terminology and CPT/HCPCS/ICD-10 coding knowledge
- Demonstrates proficiency in Meditech and MS Excel
- Professionally collaborates with staff at various levels throughout the organization, including, but not limited to: Physician Practices, HIM, Information Systems, Patient Financial Services and Clinical Directors
- Works efficiently with minimal supervision
- Remains flexible to accommodate staffing shortages in the Patient Access department
Nice To Haves
- Associate degree preferred
Responsibilities
- Calls patient prior to service to verify demographics and insurance, and notifies of copay amount that is expected at time of service
- Verifies insurance eligibility and benefits directly with payer or on payer Website prior to scheduled appointment
- Pre-registers patient in Meditech and ensures billing information matches in Athena for clinical staff
- Prints face sheet and labels
- Documents when unable to reach patient prior to visit so that department secretary can verify demographic information at time of service
- Indicates copay amount due on the face sheet sent over to office
- Educates insured patient on their insurance benefits payment obligations and installment requirements prior to services
- Documents all information obtained during pre-registration activities
- Identifies uninsured, underinsured and low-income patients
- Refers uninsured, underinsured, and low-income patients to Financial Counselors for financial assistance options and other arrangements prior to patient visit
- Collaborates with Patient Account Reps and Front Desk staff before patient is seen to prevent avoidable write-offs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
