Financial Clearance Specialist
: Job Details :


Financial Clearance Specialist

Confluent Health

Location: all cities,CA, USA

Date: 2024-11-25T08:05:51Z

Job Description:
OverviewReporting to the Manager of Financial Clearance, the Financial Clearance Specialist will be responsible for ensuring that finanacial clearance is obtained prior to services being rendered, patient expereince protocols are followed, and clearance is obtained in a timely manner to reduce related denials. Benefits:
  • Generous PTO Plan
  • Health, Dental, and Vision insurance
  • 401(k) with company match up to 4%
  • Unique Maternity Benefits
  • New Parent Perks
  • Much, Much More!
ResponsibilitiesThis is a remote position.Verifies insurance benefits for all new patients prior to the initial evaluation.Reverifies benefits as needed due to insurance changes/updates.Ensures patient demographics and insurance benefits are entered accurately in the EMR.Obtains authorizations for services when required by the insurance plan.Ensure authorization details are entered accurately into the EMR.Monitors authorizations, visit counts, eligibility status to ensure no loss of revenue due to expired authorizations, exceeded visit counts or ineligibility. QualificationsBilling Specialist Qualifications:
  • High School Diploma required
  • 1-2 years of financial clearance expereince in a medical or health setting preferred.
  • Strong computer skills relavant to the position required. Expereince using Excel, Power point and word required.
  • Knowledge of and ability to articulate explanations of medicare, Medcaid, HIPPA, and other government assistance programs and regulations.
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