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Patient Financial Clearance Representative
VCU HealthPatient Financial Clearance Representative handling financial clearance activities for patients at VCU Health. Supporting insurance and registration processes to enable efficient patient scheduling and service delivery.
About the role
Key responsibilities & impact- Supporting insurance and registration Workqueues and other patient access functions for Ambulatory Business Operations
- Ensuring entire scope of financial clearance activities for assigned patients before the scheduled appointment date
- Confirming completeness of patient registration data
- Verifying insurance eligibility
- Confirming health plan benefits
- Procuring PCP referrals and health plan authorizations
- Calculating/collecting patient liability estimate
- Restricting/redirecting out of network patient
- Communicating patient financial responsibility
- Ensuring patient financial responsibility is communicated with consistency, clarity, and transparency
- Contributing to streamlining clinical operation work flows and improving revenue cycle operations and financial performance
Requirements
What you’ll need- Minimum three (3) years of previous experience in a health care setting
- Experience in commercial, managed care and governmental health insurance plans
- One (1) year experience in insurance plan authorization and referral requirements
- Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc.
- Strong customer service skills and patients/customers centered focus in a positive manner in all situations
- Previous experience using EPIC Patient Registration or other medical billing/registration system (preferred)
- Previous experience in ICD and CPT coding (preferred)
- Previous experience using medical terminology (preferred)
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance eligibility verificationhealth plan benefits confirmationPCP referrals procurementhealth plan authorizationspatient liability calculationICD codingCPT codingmedical terminology
Soft Skills
customer servicepatient-centered focuscommunicationclaritytransparency