Job Description
A healthcare organization on Long Island is seeking a Financial Clearance Representative for their Revenue Cycle team. This individual will perform insurance verification, insurance notification and authorization, patient financial responsibility communication, and other patient access operational activities. They will also be responsible for
Updating the patient insurance coverage, sending notification to payers for non-scheduled admissions, and ensuring pre-certification/authorization requirements are complete prior to the date of service. The role will work closely with Utilization Management, Patient Accounts, and other key stakeholders in the revenue cycle to ensure all pertinent patient and insurance information is on file for clinical submission and billing.
Skills and Requirements
3+ years of experience working within a Customer Service based role within a health system
- Experience understanding of insurance pre-certification requirements, contract benefits, and medical terminology.
- Strong expertise in insurance, managed care and federal/ state coverage
Ability to work in a high stress environment while maintaining positive patient relations null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].