Patient Financial Clearance Representative

🕒 il y a 9 jours

⚔️ Virginia – Distant

info

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

💸 Planification et Analyse Financières (FP&A)

🦅 Parrain de Visa H1B

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of VCU Health

VCU Health

10 000+ employés

⚕️ Assurance santé

Healthcare Insurance

VCU Health est un centre médical universitaire dédié à l'avancement de la médecine et à l'amélioration de la santé communautaire. Avec plus de 800 médecins dans plus de 200 spécialités cliniques, il offre une large gamme de services, y compris les soins contre le cancer, les services cardiaques et vasculaires, les neurosciences, l'orthopédie, la pédiatrie, les soins d'urgence et la télémédecine. VCU Health intègre une technologie de pointe et une expertise clinique pour faire des avances médicales une réalité. Il gère divers hôpitaux et centres de soins complets, y compris le VCU Medical Center au centre-ville de Richmond et le Children's Hospital of Richmond. VCU Health met également l'accent sur la recherche et les essais cliniques pour repousser les limites du possible en médecine.

Description

• 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.

🎯 Exigences

• 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)

🏖️ Avantages

• N/A

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