Patient Financial Clearance Representative

🕒 5 dias atrás

⚔️ Virginia – Remoto

⚔️ Virginia – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💸 Planejamento e Análise Financeira (FP&A)

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VCU Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

⚕️ Seguro de Saúde

Healthcare Insurance

O VCU Health é um centro médico acadêmico dedicado ao avanço da medicina e à melhoria da saúde comunitária. Com mais de 800 médicos em 200 especialidades clínicas, oferece uma ampla gama de serviços, incluindo cuidados oncológicos, serviços cardíacos e vasculares, neurociências, ortopedia, pediatria, atendimento de emergência e telemedicina. O VCU Health integra tecnologia de ponta e expertise clínica para tornar os avanços médicos uma realidade. Opera vários hospitais e centros de atendimento abrangentes, incluindo o VCU Medical Center no centro de Richmond e o Children's Hospital de Richmond. O VCU Health também enfatiza a pesquisa e os ensaios clínicos para expandir os limites do que é possível na medicina.

Descrição

• Responsible for the entire scope of financial clearance activities for assigned patients before the scheduled appointment date. • Confirming completeness of patient registration data, verifying insurance eligibility, confirming health plan benefits, procuring PCP referrals and health plan authorizations. • Calculating/ collecting patient liability estimate, restricting/redirecting out of network patient, and communicating patient financial responsibility. • Ensuring patient financial responsibility is communicated with consistency, clarity and transparency to ensure patients understand the cost of services they receive, their insurance coverage and limitations, and their individual responsibility. • Directly impacting health system goals of streamlining clinical operation work flows as well as improving revenue cycle operations and financial performance.

🎯 Requisitos

• Minimum three (3) years of previous experience in a health care setting • Experience in commercial, managed care and governmental health insurance plans • One (1) year experience in insurance plan authorization and referral requirements; or Medical billing • Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. • Strong customer service skills and patients/customers centered focus in a positive manner in all situations • Previous experience using GE-IDX Patient Registration or other medical billing/registration system (preferred) • Previous experience in ICD and CPT coding (preferred) • Previous experience using medical terminology (preferred) • High School Diploma or equivalent (required) • Post high school education in healthcare or medical billing coursework (preferred)

🏖️ Benefícios

• N/A