Job details
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Primary Duties:
1. Enters demographic and billing information into EvergreenHealth's system.
2. Performs pre-registration of patient prior to scheduled admission in accordance to the departments pre-registration procedures.
3. Demonstrates knowledge of insurance payers and the use of electronic systems for verification purposes.
4. Verifies insurance eligibility, obtains co-pay amounts, and medical/clinical authorization for care as needed.
5. Uses electronic systems and payer websites for verification of insurance, authorizations and referrals.
6. Responsible for working with physician's office to assure authorization is in place prior to scheduled service when required.
7. Provides inpatient notification based on payer requirements.
8. Collect copays based on departmental guidelines.
9. Follows EvergreenHealth's Financial Clearance Policy.
10. Obtains authorization or referral (as required) and enters into patients encounter.
11. Identifies the need for financial counseling and refers patient to the Financial Counselor.
Manage the work volume and disseminate status update to other team members as needed.
License, Certification, Education or Experience:
REQUIRED for the position:
• High School graduate or equivalent
• Excellent communication skills to effectively obtain information from patients, physicians, other clients.
• Ability to function independently, organizes work, multitasks, and establishes priorities.
• Numerical ability is required to discuss financial arrangements including deposit requirements.
DESIRED for the position:
• Vocational training or college degree in the healthcare setting.
• 1 year prior experience in a hospital or medical setting
• Working knowledge of insurances.
• Knowledge of medical terminology.
Benefit Information:
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
Financial Clearance Representative (40 hours/week, days)
Wage Range: $23.23 - $35.23 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Hybrid Remote in Washington State Only
Hybrid Remote in Washington State Only
Job Summary:
Financial Clearance Representatives represents EvergreenHealth as welcoming officials to patients. Responsible for accurate pre-registration of scheduled patients in a manner that promotes EvergreenHealth's values and contributes towards an optimum experience for patients. Accountable for proper patient identification to ensure patient safety. Initiates the Patient Revenue Cycle for maximum and timely reimbursement with utilization of registration functions/systems.
Financial Clearance Representatives represents EvergreenHealth as welcoming officials to patients. Responsible for accurate pre-registration of scheduled patients in a manner that promotes EvergreenHealth's values and contributes towards an optimum experience for patients. Accountable for proper patient identification to ensure patient safety. Initiates the Patient Revenue Cycle for maximum and timely reimbursement with utilization of registration functions/systems.
Primary Duties:
1. Enters demographic and billing information into EvergreenHealth's system.
2. Performs pre-registration of patient prior to scheduled admission in accordance to the departments pre-registration procedures.
3. Demonstrates knowledge of insurance payers and the use of electronic systems for verification purposes.
4. Verifies insurance eligibility, obtains co-pay amounts, and medical/clinical authorization for care as needed.
5. Uses electronic systems and payer websites for verification of insurance, authorizations and referrals.
6. Responsible for working with physician's office to assure authorization is in place prior to scheduled service when required.
7. Provides inpatient notification based on payer requirements.
8. Collect copays based on departmental guidelines.
9. Follows EvergreenHealth's Financial Clearance Policy.
10. Obtains authorization or referral (as required) and enters into patients encounter.
11. Identifies the need for financial counseling and refers patient to the Financial Counselor.
Manage the work volume and disseminate status update to other team members as needed.
License, Certification, Education or Experience:
REQUIRED for the position:
• High School graduate or equivalent
• Excellent communication skills to effectively obtain information from patients, physicians, other clients.
• Ability to function independently, organizes work, multitasks, and establishes priorities.
• Numerical ability is required to discuss financial arrangements including deposit requirements.
DESIRED for the position:
• Vocational training or college degree in the healthcare setting.
• 1 year prior experience in a hospital or medical setting
• Working knowledge of insurances.
• Knowledge of medical terminology.
Benefit Information:
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.
*This position is covered by a collective bargaining agreement between EvergreenHealth and the Service Employees International Union (SEIU) Healthcare 1199NW. the SEIU. Union membership is optional.• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.
EvergreenHealth will advance the health of the community it serves through our dedication to high quality, safe, compassionate, and cost-effective health care.
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Full-time, hybrid
DATE POSTED
September 23, 2024
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