Financial Clearance Representative

Position Summary

Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure.

Essential Functions

Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools. Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines.

Starts the overall patient's experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information. Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations. Estimates and collects copays, deductibles, and other patient financial obligations.

Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements. Applies recurring visit processing according to protocol. Performs duties otherwise assigned by management.

Qualifications

Required: High school diploma or equivalent required One year experience in patient access, registration, billing or physician office Preferred: One-year experience in insurance verification and authorization using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification Equal Opportunity Employer of Minorities/Females/Disabled/Veterans