Financial Clearance Center Representative

Overview

• Serve as a Financial Clearance Center Representative, ensuring accurate billing and insurance verification within a healthcare setting.
• Assist the radiology team with insurance eligibility, benefits, and authorization processes.
• Work on-site in a dynamic billing department environment, contributing to efficient operations.
• Utilize knowledge of CPT and ICD-10 codes for accurate billing and documentation.
• Collaborate with healthcare professionals to ensure seamless financial clearance processes.
• Opportunity to develop expertise in healthcare insurance and billing practices.
• Contribute to the financial success of healthcare operations through meticulous work.

Key Responsibilities & Duties

• Verify insurance eligibility and benefits for radiology patients.
• Process authorizations and ensure compliance with insurance requirements.
• Utilize CPT and ICD-10 codes for accurate billing and documentation.
• Collaborate with the billing department to streamline financial clearance procedures.
• Maintain accurate records and documentation for insurance verification processes.
• Provide support to the radiology team in financial clearance tasks.
• Ensure compliance with healthcare billing regulations and standards.
• Communicate effectively with patients and insurance providers regarding billing inquiries.

Job Requirements

• High School Diploma or GED required; additional certifications in billing or coding preferred.
• Minimum of 1 year of experience in healthcare billing or insurance verification.
• Preferred 3 years of experience in a similar role within a healthcare setting.
• Proficiency in CPT and ICD-10 coding standards.
• Strong understanding of insurance eligibility, benefits, and authorization processes.
• Excellent organizational and communication skills for effective collaboration.
• Ability to work on-site during standard business hours, Monday through Friday.
• Commitment to maintaining accuracy and compliance in financial clearance tasks.