The Financial Clearance Representative obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient, guarantor information in the patient accounting system. Conducts online insurance eligibility/benefit verification, pre-=certification/authorization, referral clearance and financial education on designated cases. Notifies patient/guarantor of patient liabilities, collects such liabilities and/or refers appropriate cases to financial counseling for follow-up and consultation.
- High school diploma or an equivalent combination of education and experience.
- Data entry skills (50-60 keystrokes per minute).
- Past work experience of at least one (1) year within a physician office, hospital or clinic environment, performing pre-registration and/or financial clearance activities or an insurance company, performing payer activities are highly desired.
- Working knowledge of medical terminology desirable. Basic computer skills are required. Certified Healthcare Access Associate (CHAA) credentials by the National Association of Healthcare Access Management (NAHAM) is also preferred.
- Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with peers, internal and external customers. Accuracy, attentiveness to detail and time management skills are required.
- To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write and operate keyboard and telephone effectively.
