Financial Clearance Representative
RevCycle, Inc.
full-time
Posted on:
Location: Wisconsin • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Manage pre-service insurance reviews for healthcare clients.
- Work remotely or from company office (Marshfield, WI) handling inquiries and insurance-related concerns.
- Process accounts accurately to facilitate insurance registration and claims processing.
- Learn via classroom training, on-the-job experience and management guidance; operate with minimal supervision.
- Meet KPIs for inbound/outbound calls and call review scores; follow company and client policies and applicable laws.
- Take calls from patients, insurance companies, and other facilities to resolve complex insurance issues.
- Answer insurance eligibility questions using required scripts/verbatims and navigate guidelines to maximize recovery.
- Maintain account documentation including notes and codes; work within client systems in real time.
Requirements
- Prior work experience in a call center and healthcare customer service setting is preferred
- Familiarity with Artiva and Cerner Soarian application is preferred
- Working knowledge of medical billing and coding is preferred
- Prior work experience in a medical office and/or general understanding of health insurance is preferred
- Prior Supervisory experience is welcome
- Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools
- Able to navigate multiple computer applications and databases.
- Able to communicate on the phone and navigate multiple computer systems simultaneously
- Reliable and responsible. Arrives on time and uses time productively
- Possesses and demonstrates professional judgement and client services business acumen
- Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) while maintaining the confidentiality of this information
- Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages
- Self-motivation and committed to career success
- High School Diploma or equivalent (i.e., GED) required.