Financial Clearance Specialist
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Job Description
Financial Clearance Specialist providing customer service for healthcare cost share. Involves insurance documentation, eligibility confirmation, and patient communication ahead of services.
Responsibilities:
- Provides world-class customer service and follows scripted benefit verification format in HIS benefits screen and updates accounts in workflow system with accurate documentation.
- Selects accurate medical records for patient safety and schedules appropriate procedures based on physician orders.
- Assigns insurance plans accurately, performs electronic eligibility confirmation and documents results, calculates patient cost share/liability and attempts to collect via phone within 48 hours of the date of service.
- Utilizes appropriate systems to facilitate communication with hospital gatekeepers, utilizes health information system account and collects documentation as appropriate.
- Meet performance expectations within 90 days from the date of hire.
- Call score averages of 95%> must be met daily, weekly, and monthly to ensure a high level of customer service.
Requirements:
- 2 Year/ Associates Degree
- Minimum of 2 years working in a call center with collection experience.
- Articulate, personable, dependable and confident with excellent communication skills.
- Is Customer service oriented, builds trust and respect by exceeding customer expectations.
- Types 45 WPM and is proficient in multiple computer applications.
- Medical/insurance background; knowledge of MS Office programs.
Benefits:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
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