Job description
Description
$19.97 per hour plus benefits! Responsible for coordinating the insurance clearance process by completing Financial Clearance for both scheduled and non-scheduled appointments. Cases needing financial clearance may include (but not limited to) diagnostic testing, surgery, pathology, and lab work verification and clinical trial research. Will also be responsible for (but not limited to) verifying eligibility, benefits, referral and authorization requirements; obtaining referrals and authorizations as necessary. In addition, will be responsible for researching appointments to ascertain scheduled services as well as identifying the appropriate procedures codes for said services. Financial Clearance will also include financial work-up; financial collection over the phone or asking the patient to pay a specified amount prior to or on the date of service; referring physician and/or patient when applicable. Serves as a liaison between the patient, referring physician and insurance plan to ensure that all services are financially cleared several days in advance to the date of service. Will also be responsible for self pay follow-up, assistance to walk-in patients, and provision of payment options (Medicaid, charity care and payment plan) to uninsured patients under general supervision and in accordance with established policy and procedure, is responsible for registration, verification, claim submission, follow-up, cash application, collection of accounts, appropriate referrals and assistance in selection and/or processing payment option assistance through Financial Counseling
Qualifications
High School Degree Required. Associates degree preferred. Bilingual Spanish or Creole preferred. Billing experience required; Experience with Medicaid preferred; NYSOH Healthcare Exchange Assistor certification preferred (Required within 1st year of employment). PC knowledge required. Excellent verbal & written communication skills. Ability to complete simple reports.
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