Patient Financial Clearance Representative

🕒 June 3

⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

VCU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

VCU Health is an academic medical center dedicated to advancing medicine and improving community health. With over 800 physicians across 200 clinical specialties, it offers a wide range of services including cancer care, heart and vascular services, neurosciences, orthopaedics, pediatrics, emergency care, and telehealth. VCU Health integrates cutting-edge technology and clinical expertise to make medical advancements a reality. It operates various hospitals and comprehensive care centers, including the VCU Medical Center in Downtown Richmond and the Children's Hospital of Richmond. VCU Health also emphasizes research and clinical trials to push the boundaries of what's possible in medicine.

📋 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.

🎯 Requirements

• 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)

🏖️ Benefits

• N/A