Financial Clearance Representative L2 – OON/Special Coverages
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Job Description
Financial Clearance Representative at Ohio State University Physicians enabling seamless patient interactions and insurance verifications. Collaborating closely with patients and healthcare professionals to ensure financial access to care.
Responsibilities:
- Uses integrated health information systems and telephone technology with customer service skills to facilitate customer interactions
- Performs an accurate search for patient in EPIC data base
- Assesses the patient’s financial ability to pay for services
- Sends eligibility requests to all payors to verify accurate and current coverage
- Provides required clinical, insurance, and demographic information to payor to obtain precertification
- Verifies insurance eligibility via various tools
- Requests and creates referrals for specified population
- Contacts external companies to verify patient’s employment and insurance information for Workers compensation cases
- Works with the Veterans’ Administration to assure services are covered and authorized
- Provides accurate information to billing and case management to assure payment of claims
Requirements:
- Associates degree or higher, or high school diploma/GED with 2+ years of experience in insurance, healthcare, or related field
- Excellent customer service skills
- Exceptional verbal and written communication skills
- High level of interpersonal skills
- Knowledge and understanding of coding, insurance, and Federal, State, and 3rd party billing/reimbursement requirements
- Experience with PC applications including MS Office and Internet.
Benefits:
- Medical, dental, vision insurance
- Health reimbursement accounts
- Flexible spending accounts
- Retirement plans
- Employee assistance program
- Paid time off
- Holidays
- Wellness program
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