Financial Clearance Specialist

Overview:

Are you organized, love solving problems, and have previous medical billing experience? Look no further, we believe that billing matters can be resolved amicably and the person we are looking for is an excellent communicator and problem solver. Discussing billing matters with insurance carriers and patients, and/or other third parties can often turn into negative experiences. We want to add a person to our team who strives to resolve billing matters without aggression, but with skill and diligence that will result in a positive experience. If you are looking to be part of a dedicated team in a great working environment then look no further and apply today!

Responsibilities:

This is a remote position

 

• Completes accurate & timely insurance verification. Enters data in an accurate manner on the EMR software.
• Ensures services scheduled have approved authorization as required by payer and procedure prior to service.
• Completes accurate and timely third-party payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
• Communicates efficiently with front office staff to ensure a clean billing process and escalates financial clearance risks as appropriate.
• Maintains productivity and quality performance expectations.
• Provides cross-coverage, when needed, for other team members.

Qualifications:

Billing Specialist Qualifications:

• High School Diploma or equivalent 
• Two or more years of patient account management experience in either a hospital or physician practice setting is preferred
• Basic accounting skills are required