Revenue Cycle Specialist – Pre-Encounter Financial Clearance
Eye Health America
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Complete all financial clearance activities prior to patient encounters and scheduled procedures
- Verify patient insurance eligibility and benefits prior to scheduled visits and procedures
- Analyze benefit design and determine whether planned services and procedures align with the patient’s benefit design
- Track authorization status and resolve discrepancies prior to date of service
- Document eligibility, benefit analysis, authorizations, and financial clearance activities in practice management and augmented financial systems
Requirements
- High School diploma
- 2–4 years of revenue cycle management or medical financial clearance experience
- Working knowledge of CPT, HCPCS, and ICD-10
- Experience with commercial, Medicare, and Medicaid payers and authorization processes
- Demonstrated ability to research and apply payer policies
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementfinancial clearancebenefit analysisauthorization processesCPTHCPCSICD-10insurance eligibility verificationdiscrepancy resolutiondocumentation
Soft Skills
research abilityanalytical skills
Certifications
High School diploma