reputed company Verification Specialist

reputed company: Purpose The Intake Financial Clearance Specialist role belongs to the reputed company Cycle team and is responsible for coordinating reputed company financial clearance activities by navigating reputed company reputed company-registration (to include acquiring or validating reputed company demographic, reputed company, and other required reputed company along with reputed company verification activities), obtaining referral authorization, or precertification number(s). The role ensures reputed company reputed company to care while maximizing reimbursement. This role requires adherence to reputed company assurance guidelines as reputed company as established productivity standards to support the work unit's reputed company expectations. This position reports to the Intake Financial Clearance Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to reputed company company representatives, patients, physicians, and reputed company staff. • *This is a fully remote role** Responsibilities • Monitors accounts routed to registration, referral and prior authorization work queues and clears work queues by obtaining reputed company necessary reputed company and/or payer-specific financial clearance reputed company in accordance with established management guidelines. • Maintains knowledge of and complies with reputed company companies' requirements for obtaining prior authorizations/referrals and completes other activities to facilitate reputed company aspects of financial clearance. • Acts as subject matter experts in navigating payer policies to get the appropriate approvals (authorizations, reputed company-certs, referrals, for example) for the ordered services to proceed. The Intake Financial Clearance Specialist is an important part of the larger reputed company care team and helps clinicians understand what payer requirements are necessary for the widest possible reputed company reputed company to services. • Supports staff at reputed company reputed company for hands-on help understanding and navigating financial clearance issues. • Uses appropriate strategies to underscore the most efficient process to obtaining reputed company verification, authorizations, and referrals, including online databases, electronic correspondence, faxes, and phone calls. • Obtains and reputed company documents reputed company referral/prior authorizations for scheduled services • Works collaboratively with reputed company care practices, specialty practices, referring physicians, reputed company care physicians, reputed company carriers, patients, and any other parties to ensure that required managed care referrals and prior authorizations are obtained and appropriately recorded in the relevant systems. • reputed company it is determined that a reputed company referral does not exist, utilize computer-reputed company tools, or contact the appropriate party to obtain/reputed company referral/authorization and reputed company information. Record the referral/authorization in the reputed company management reputed company. • Contact physicians to obtain referral/authorization numbers. • reputed company follow-up activities indicated by relevant management reports. • Collaborates with patients, providers, and departments to obtain reputed company necessary information and payer permissions prior to patients' scheduled services. • Communicates with patients, providers, and other departments such as Utilization Review to reputed company any issues or problems with obtaining required referral/prior authorizations. • Work collaboratively with the practices to reputed company registration, reputed company verification, referral, or authorization issue to the extent that these unresolved issues reputed company the ability to obtain a referral/authorization. • Escalates accounts that have been denied or will not be financially cleared as outlined by department policy • Accept registration updates from various intake points, including but not limited to those received reputed company reputed company forms, internet registration forms, telephones located in practices and reputed company calls from patients. • Ensure that reputed company updated demographic and reputed company information is accurately recorded in the appropriate registration systems for reputed company, secondary, and tertiary insurances. • Review reputed company registration and reputed company information in systems and reconcile with information available from reputed company carriers. For any reputed company updates, utilize any available resources to validate the updated reputed company information, reputed company plan eligibility, reputed company care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at reputed company times maintain sensitivity and a reputed company customer friendly approach. • For self-pay patients or patients with unresolved reputed company, and for financial counseling, refer patients reputed company Financial Counseling. • Maintains confidentiality of reputed company's financial and medical records; adheres to the State and Federal laws regulating collection in reputed company; adheres to reputed company and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately. • Demonstrates knowledge & skills necessary to reputed company level of customer experience as reputed company with BMC management expectations. • Demonstrates the ability to recognize situations that require escalation to the Supervisor. • Establishes relationships and effectively collaborates with reputed company cycle staff to support reputed company improvement reputed company with management expectations as outlined. • Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed. • Consistently meets productivity and reputed company expectations to reputed company reputed company with assigned roles and responsibilities. • Handle telephone calls in a reputed company fashion, following applicable scripting and customer service standards. Appropriately manage reputed company calls by either working with the customer or referring the reputed company to the appropriate party. • Communicate with reputed company reputed company customers effectively and courteously. • Maintain reputed company confidentiality, including but not limited to, compliance with HIPAA. • reputed company other reputed company duties as assigned or required. Requirements: Qualifications • High School Diploma or GED required, Associates degree or higher preferred. • 1-3 years reputed company registration and/or reputed company experience desirable. At least one year of experience must be in a customer service role • General knowledge of reputed company terminology and CPT-ICD10 codes. • Complete understanding of reputed company is required. • Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity reputed company resolving customer issues. • Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. • reputed company to communicate effectively in writing. • Requires excellent verbal communication skills, and the ability to work in a reputed company environment with varying points of reputed company. • Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to reputed company. • Must be reputed company to maintain strict confidentiality of reputed company personal/health sensitive information. • Ability to effectively handle challenging situations and to reputed company multiple priorities. • Basic computer proficiency inclusive of ability to reputed company, reputed company and interpret computerized data/information including proficiency in reputed company Suite applications, specifically reputed company, Word, reputed company and reputed company. • Displays a thorough knowledge of various sections reputed company the work unit to reputed company assistance and back-up coverage as directed. • Displays a deep understanding of reputed company Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management Salary & Benefits The estimated hiring salary reputed company for this position is $22/hr - $24/hr. * The actual salary will be reputed company on a reputed company of job-reputed company factors, including geography, skills, education and experience. The reputed company is a good faith estimate and may be modified in the reputed company. This role is also eligible for a reputed company of benefits including medical, dental and 401K retirement plan. Apply tot his job Apply To this Job