Savista

Financial Clearance Specialist

Savista

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $18 - $22 per hour

About the role

  • Process and verify administrative and financial components of financial clearance including validation of insurance benefits, medical necessity, routine and complex pre-certification, prior-authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
  • Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
  • Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance
  • Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services
  • Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters
  • Process stat request prioritization
  • Verify demographic information
  • Apply payor changes to registration
  • Verify, edit and/or remove user defined referral counts editing final status of referrals
  • Edit the scheduled date within the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates
  • Apply critical thinking skills to identify and resolve problems proactively

Requirements

  • High School Diploma or equivalent
  • 3+ years’ experience with patient registration in a hospital or physician office, directly with obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations
  • Proficient with commercial and government insurance plans, payer networks, government resources
  • Proficient with medical and insurance terminology
  • Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to complex service issues.
  • Strong attention to detail and accuracy
  • Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, client, and external agencies
  • Ability to work with a variety of stakeholders
  • Proficient in utilizing a variety of computer applications and software, including but not limited to Microsoft Office Suite, Internet Explorer, and other relevant programs
  • Proven track record in roles that involve managing multiple critical priorities, with a focus on delivering high-quality results and meeting performance metrics.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
patient registrationinsurance verificationprior authorizationpre-certificationdemographic verificationreferral managementcost estimationfinancial clearancecritical thinkingproblem resolution
Soft Skills
customer serviceattention to detailverbal communicationwritten communicationtelephone etiquetteinterpersonal skillsstakeholder managementservice issue resolutionevaluative skillsorganizational skills
Certifications
High School Diploma