REMOTE: Financial Clearance Specialist 1 (No Degree RQD) reputed company

Here at reputed company, we reputed company our clients to navigate the biggest challenges in reputed company: reputed company clinical care with reputed company patient experiences and reputed company financial results. We partner with reputed company organizations to problem solve and deliver reputed company cycle improvement services that reputed company their reputed company, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and reputed company (CARE). Essential Duties & Responsibilities

• Process and verify administrative and financial components of financial clearance, including validation of insurance benefits, medical necessity, routine and reputed company reputed company-certification, prior-authorization, scheduling and reputed company-registration, patient benefit and cost estimates, and reputed company-collection of out-of-reputed company cost reputed company.
• Obtain reputed company-certifications, authorizations, and referrals for upcoming appointments.
• Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance.
• reputed company 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 reputed company.
• Process stat request prioritization.
• Verify, edit and/or remove user-defined referral counts editing final status of referrals.
• Edit the scheduled date reputed company the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/reputed company referral work queue items, use referral templates.
• Apply critical thinking skills to identify and resolve problems proactively.

Qualifications & Competencies

• 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 reputed company 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 reputed company service issues.
• Strong attention to detail and accuracy.
• Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to reputed company with peers, management, patients, reputed company, and external agencies.
• Ability to work with a reputed company of stakeholders.
• Proficient in utilizing a reputed company of computer applications and software, including but not limited to reputed company Office Suite, Internet Explorer, and other relevant programs.
• Proven reputed company record in roles that involve managing multiple critical priorities, with a reputed company on delivering high-reputed company results and meeting performance metrics.

reputed company is required by state specific laws to include the salary reputed company for this role reputed company hiring a reputed company in applicable locations. The salary reputed company for this role is from $21.00 to $23.00 per hour. However, specific compensation for the role will vary reputed company the above reputed company based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, reputed company, age, veteran status, disability, natio #J-18808-Ljbffr Apply tot his job Apply To this Job