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Financial Clearance Specialist

Remote:

Full Remote

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

High School Diploma required, 1-2 years of financial clearance experience preferred, Strong computer skills are required, Knowledge of Medicare and Medicaid programs.

Key responsabilities:

Verifies insurance benefits for new patients
Monitors authorizations and eligibility status

Confluent Health XLarge https://goconfluent.com/

5001 - 10000 Employees

See all jobs

Job description

Overview

Reporting to the Manager of Financial Clearance, the Financial Clearance Specialist will be responsible for ensuring that financial clearance is obtained prior to services being rendered, patient experience protocols are followed, and clearance is obtained in a timely manner to reduce related denials.

Benefits:

Generous PTO Plan
Health, Dental, and Vision insurance
401(k) with company match up to 4%
Unique Maternity Benefits
New Parent Perks
Much, Much More!

Responsibilities

This is a remote position.

Verifies insurance benefits for all new patients prior to the initial evaluation.

Reverifies benefits as needed due to insurance changes/updates.

Ensures patient demographics and insurance benefits are entered accurately in the EMR.

Obtains authorizations for services when required by the insurance plan.

Ensure authorization details are entered accurately into the EMR.

Monitors authorizations, visit counts, eligibility status to ensure no loss of revenue due to expired authorizations, exceeded visit counts or ineligibility.

Qualifications

Billing Specialist Qualifications:

High School Diploma required
1-2 years of financial clearance experience in a medical or health setting preferred.
Strong computer skills relevant to the position required. Experience using Excel, Power point and word required.
Knowledge of and ability to articulate explanations of Medicare, Medicaid, HIPPA, and other government assistance programs and regulations.