Senior Patient Financial Clearance Representative

🔥 1 minute ago

🏈 Alabama, Florida, +13 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $18 - $28 / hour

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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VCU Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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

• Secure appropriate patient information and ensure registration data is correct and accurate • Validate insurance eligibility and enter information into appropriate systems • Collect co-pays when applicable • Assist with financial counseling and financial clearance • Communicate with patients, clinical staff, and providers when services must be postponed due to eligibility or benefit issues • Prioritize and coordinate patient accounts requiring demographic, payer, and visit data before appointments • Resolve missing or incorrect critical data elements independently • Apply additions and revisions to patients’ EPIC accounts according to registration policies and procedures • Determine whether plan additions or revisions should apply to past and future scheduled visits • Contact patients or guarantors by phone, portal, email, or mail to complete or update data • Achieve an EPIC Registration Audit Program accuracy rate of 97% or greater • Confirm health plan eligibility and benefits before scheduled outpatient visits using online tools, health plan websites, and telephone confirmation • Contact patients or guarantors when eligibility or benefit confirmation is unsuccessful • Cancel or reschedule appointments when additional time is needed to confirm eligibility or benefits • Provide real-time training, troubleshooting guidance, coaching, and mentorship to new representatives • Support development and acquisition of job-specific skills • Collaborate on diversity, equity, and inclusion initiatives across the health system • Perform other assigned duties and participate in special projects supporting VCUHS and the Department

🎯 Requirements

• High School Diploma or equivalent • 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 patient/customer-centered focus • Commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias • Patient Registration or other medical billing/registration systems, ICD and CPT coding, and medical terminology are preferred • Must be located in one of the listed remote states: Alabama, Arkansas, Florida, Georgia, Kansas, Kentucky, Maryland, Michigan, Missouri, Mississippi, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia