Processes patient, insurance, and financial clearance activities for scheduled and non-scheduled appointments, including insurance coverage validation, benefits verification, prior authorizations, pre-certifications, scheduling, and pre-registration.
Responsible for triaging routine financial clearance work and supporting administrative and financial processes related to patient access and revenue cycle operations.
Works closely with physician office staff, clinic staff, ancillary departments, financial services, and external payers to resolve clearance issues, track authorizations, and support timely patient care.
High school diploma or GED.
- Two years of experience in healthcare revenue cycle, medical office, hospital, patient access, or related experience; behavioral health experience preferred.
- Experience with healthcare registration, scheduling, insurance referral, and authorization processes; behavioral health experience preferred.
- Knowledge of medical and insurance terminology.
- Knowledge of medical insurance plans, especially managed care plans.
- Ability to understand, interpret, evaluate, and resolve basic customer service issues.
- Excellent verbal communication, telephone etiquette, interviewing, and interpersonal skills.
- Intermediate analytical skills to resolve problems and assist patients and referring physicians with financial clearance issues.
- Basic working knowledge of UB-04 and Explanation of Benefits (EOB).
- Working knowledge of medical terminology and CPT/ICD-10 coding.
- Dependability, critical thinking, creativity, and problem-solving skills.
- Knowledge of registration and admitting services, hospital administrative practices, operational principles, and applicable regulatory requirements preferred.
- Experience with behavioral health insurance portals and authorizations highly considered.
28 hours per week, part-time days (8:00am-4:30pm).
- Pay range: $17.68 - $24.76 per hour, depending on years of experience.
- Shift differential may apply.
- Access to the UMMS benefits guide.
Location
Maryland, US
Employment Type
Part-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago