Responsible for the full scope of financial clearance activities for assigned patients before the scheduled appointment date.
This includes confirming patient registration data, verifying insurance eligibility, confirming health plan benefits, obtaining PCP referrals and health plan authorizations, calculating and collecting patient liability estimates, restricting or redirecting out-of-network patients, and communicating patient financial responsibility.
The role supports health system goals by improving clinical workflow efficiency, revenue cycle operations, and overall financial performance.
Requirements & Qualifications
Requirements
- Minimum 3 years of previous experience in a health care setting
- Experience with commercial, managed care, and governmental health insurance plans
- At least 1 year of experience with insurance plan authorization and referral requirements, or medical billing experience
- Prior experience using a personal computer and software applications such as Microsoft Office and email
- Strong customer service skills and a patient-centered approach
- High school diploma or equivalent
Preferred Qualifications
- Experience with GE-IDX Patient Registration or other medical billing/registration systems
- Previous experience with ICD and CPT coding
- Familiarity with medical terminology
- Post-secondary education in healthcare or medical billing coursework
Location
Richmond, Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 months ago