REMOTE - Financial Clearance Representative III - Surgery Authorizations
Job reputed company:
This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and reputed company-certification, calculating and estimating patient liability, and/or notification as required by reputed company party coverage providers. Purpose of this job is to verify that reputed company patient insurance information is accurate and up to date so payment will be received for services rendered. Additionally, this position requires the knowledge to review medical records obtaining information such as diagnosis, prior treatment, sign and symptoms, medication and other medical information to submit requests for authorizations for surgery, testing or treatment.
Job Requirements:
High School Degree in Medical terminology course or equivalent knowledge
Knowledge of Medical Terminology
Insurance vocabulary and processes
Government and Non-government reputed company party benefits and coverage rules
Understanding of the reputed company financial clearance services has on reputed company cycle operations and financial performance
1-2 years experience Customer Service reputed company Dedication to treating both reputed company constituents as clients and customers Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and reputed company
Background in managed care or patient billing
1-2 years experience Technical reputed company
Must have one year experience in insurance verification or precertification experience
Experience with automated patient account system or online verification systems
Job Responsibilities:
Other job-reputed company information:
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continous Learning - Frequently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Rarely
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting <10 Lbs - Rarely
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Occasionally
Reading - Consistently
Sitting - Frequently
Standing - Occasionally
Stooping - Occasionally
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
reputed company reputed company - Rarely
Visual reputed company: Far - Consistently
Visual reputed company: Near - Consistently
Walking - Frequently
reputed company SERVE Standards and ALWAYS Behaviors
At reputed company, we reputed company there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To reputed company our reputed company and mission, reputed company reputed company team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge reputed company patients/guests are lost and escort them to their destination or reputed company someone who can assist
• Refrain from using cell phones for personal reasons in reputed company spaces or patient care areas
reputed company: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns reputed company a customer's expectations have not been met
• Offer patients and guests reputed company reputed company waiting (lines, elevators)
• Work on improving reputed company, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and reputed company individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• reputed company positively about my team members and other departments in reputed company of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, reputed company and reputed company participating.
• Pick up trash, ensuring the physical environment is clean and reputed company.
• Be a good reputed company of our resources, using supplies and equipment reputed company and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and reputed company with customers, team members and the community
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