Financial Clearance Representative

Description

Wage Range: $23.23 - $35.23 per hour

• Enters demographic and billing information into EvergreenHealth's system.
• Performs pre-registration of patient prior to scheduled admission in accordance with the department’s pre-registration procedures.
• Demonstrates knowledge of insurance payers and the use of electronic systems and payer contract information for verification purposes.
• Uses electronic systems and payer websites for verification of insurance, authorizations, referrals, and copay information.
• Enters benefit details including copay information and preauthorization requirements in patient accounts
• Submits preauthorization or referral requests (as required) and enters status information in the patients encounter.
• Responsible for working with physician's office to assure authorization or referral is in place prior to scheduled service when required.
• Provides inpatient notification based on payer requirements.
• Follows EvergreenHealth's Financial Clearance Policy.
• Identifies the need for financial counseling and refers patient to the Financial Counselor.
• Manage the work volume and disseminate status update to other team members as needed.