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Financial Clearance Specialist
Beth Israel Lahey HealthFinancial Clearance Specialist at Beth Israel Lahey Health ensuring medical necessity and authorization for outpatient services. Collaborating with departments for financial clearance activities and reporting outcomes.
About the role
Key responsibilities & impact- Verifies patient's insurance eligibility
- Identifies payer medical necessity determination
- Determines authorization requirement
- Completes assigned work queues and reports daily
- Follows BIDMC policies and procedures
- Identifies trends and provides periodic reports
Requirements
What you’ll need- High School diploma or GED required
- 1-3 years related work experience required
- Working knowledge of Common Procedural Terminology (CPT)
- Advanced skills with Microsoft applications (Outlook, Word, Excel, PowerPoint or Access)
- 3+ years of related experience preferred
- Knowledge of payer policies for medical necessity/authorization requirements
Benefits
Comp & perks- Comprehensive compensation and benefits
- Paid time off
- Professional development opportunities
- Supportive work environment
ATS Keywords
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Hard Skills & Tools
insurance eligibility verificationmedical necessity determinationauthorization requirement determinationCommon Procedural Terminology (CPT)Microsoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Access
Certifications
High School diplomaGED