Financial Clearance Representative III

Responsibilities: Responsible for verifying patient insurance, confirming benefits eligibility, and performing authorizations and pre-certifications. The role involves reviewing medical records to submit requests for surgery, testing, or treatment to ensure accurate payment for services.

Requirements: Requires a high school degree and knowledge of medical terminology and insurance processes. Candidates must have 1-2 years of experience in healthcare customer service and at least one year of experience in insurance verification or precertification.

Key skills: Insurance Verification, Pre-certification, Medical Terminology, Patient Billing, Managed Care, Revenue Cycle Operations, Customer Service, Benefits Eligibility, Medical Record Review, Patient Liability Calculation

Keywords: Financial Clearance, Revenue Cycle, Medical Terminology, Insurance Verification, Pre-certification, Managed Care, Patient Billing, Healthcare Administration, Benefits Eligibility, Third Party Coverage