Financial Clearance Representative L2 – OON/Special Coverages

🕒 August 20

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Ohio State University Physicians

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

⚕️ Healthcare Insurance

🏥 Healthcare

🤝 Non-profit

Healthcare Insurance • Healthcare • Non-profit

Ohio State University Physicians is the medical group managing The Ohio State University Wexner Medical Center’s faculty practices, aimed at providing high-quality, patient-focused care. They operate numerous outpatient care locations across central Ohio, offering primary and specialty care services while also delivering a range of management and consulting services to healthcare organizations. Their commitment to teamwork, diversity, and employee development fosters an environment dedicated to improving health outcomes in the community.

📋 Description

• Use integrated health information systems and telephone technology to facilitate customer interactions • Search accurately for patients in the EPIC database to reduce duplicate patient records • Assess patients’ financial ability to pay and refer them to financial counseling when appropriate • Send eligibility requests to payors to verify current coverage • Provide clinical, insurance, and demographic information to payors for precertification • Verify insurance eligibility using various tools • Request and create referrals for specified populations • Pre-certify services, obtain authorization numbers, and enter information into patient accounts using medical, ICD, and CPT codes • Contact external companies to verify employment and insurance information for Workers’ Compensation cases • Work with the Veterans’ Administration to ensure services are covered and authorized • Provide accurate information to billing and case management to support claim payment • Collaborate with medical staff, referring physicians, and designees to obtain complete and timely clinical and financial information • Maintain confidentiality and comply with Office of Compliance and HIPAA standards • Alert management to system and workflow problems • Perform Financial Clearance Representative Pre-Reg duties and assist that area as assigned • Perform other duties as assigned

🎯 Requirements

• Associate degree or higher, or high school diploma/GED with 2+ years of experience in insurance, healthcare, or related field • Excellent customer service skills • Ability to work in a fast paced environment • Exceptional verbal and written communication skills • High level of interpersonal skills to handle sensitive, confidential situations and establish effective working relationships • Attendance, promptness, professionalism, attention to detail, cooperativeness, and politeness • Ability to escalate issues if necessary • Knowledge and understanding of coding, insurance, and Federal, State, and 3rd party billing/reimbursement requirements • Experience with PC applications including MS Office and Internet • Ability to maintain employer training requirements • Must work from a residence in Ohio

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Health reimbursement accounts • Flexible spending accounts • Retirement benefits • Employee assistance program • Paid time off • Paid holidays • Wellness program • Flexible, competitive benefit package