RevCycle, Inc.

Financial Clearance Representative

RevCycle, Inc.

full-time

Posted on:

Origin:  • 🇺🇸 United States • Wisconsin

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Job 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.