About the role
- Responsible for the 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
Requirements
- 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; or Medical billing
- 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
- N/A
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance eligibility verificationhealth plan benefits confirmationPCP referrals procurementhealth plan authorizationspatient liability calculationmedical billing
Soft skills
customer servicepatient-centered focuscommunication