Financially clears scheduled inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures, prior to date of service. Financial clearance process encompasses any or all of the following job functions:
Answers a high volume of inbound phone calls in a call center environment, as well as makes any necessary outbound phone calls to payor, providers and patients.
Provides clear and concise documentation in systems.
Communicates daily with insurance companies, internal customers, providers and patients.
Scheduled Days / Hours: M-F 8 hours
High School Diploma required.
2 years insurance verification or registration experience in a hospital or physician office preferred.
Working knowledge of medical insurance plans & products, coordination of benefits guidelines, and requirements for authorizations, pre-certifications and referrals.
Proficiency in working with payor on-line portals, as well as NaviNet, Passport or other third party eligibility systems required.
Experience working in a high volume, inbound call center preferred.
Proficiency in IDX Flowcast, Imagecast, and EPIC EMR systems preferred.
Skilled in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration and billing systems.
Basic knowledge of medical diagnoses and procedural codes
Excellent verbal and written communications skills
Ability to organize, take independent action and project Cooper values to customers and