Financial Clearance Representative (REMOTE)
Full Time
Saint Paul, MN 55104
Posted
Job description
Overview:
Fairview Health Services is an award-winning nonprofit health care system with more than 24,000 employees and 2,300 aligned physicians. Based in Minneapolis, we provide exceptional, coordinated health care-from preventing illness and injury, to dealing with the most complex medical conditions. Hardworking, innovative, dedicated employees are critical to our future as we seek to improve the health of the communities we serve.
This is an offsite (remote/work from home) position.
Responsibilities/Job Description:
True to our values of dignity, integrity, service and compassion, our employees provide exceptional care to each patient, every day. Consider being part of our team today.
EEO/AA Employer/Vet/Disabled
All qualified applicants will receive consideration without regard to any lawfully protected status.
Join us in providing and supporting outstanding care to our patients and community!!
Fairview Health Services is an award-winning nonprofit health care system with more than 24,000 employees and 2,300 aligned physicians. Based in Minneapolis, we provide exceptional, coordinated health care-from preventing illness and injury, to dealing with the most complex medical conditions. Hardworking, innovative, dedicated employees are critical to our future as we seek to improve the health of the communities we serve.
This position completes the financial clearance process. One will need an understanding of working with multiple insurance payors to secure benefits and increase the likelihood of reimbursement at the highest levels. You will make decisions on when and how to work with medical staff, nursing, ancillary departments, payors and other external sources to assist patients in acquiring healthcare and financial services.
This is an offsite (remote/work from home) position.
Responsibilities/Job Description:
- Complete the financial clearance process within Patient Access.
- Work with insurance payors to secure benefits and raise the level of reimbursement to the highest potential.
- Successfully converse with all parties (patients, guarantors, family members etc.) in order to gain and convey a clear understanding of their financial responsibilities and situation.
- Complete various verifications to clarify the patient’s benefit level, providing cost estimates or alternative options based on authorization status.
- Review medical chart/history and physician orders to determine ICD and CPT codes.
- Screen payor medical policies to gauge if the scheduled procedure meets medical necessity guidelines, submit and handle referral and authorization requests/requirements, ensure that pre-certification and admissions notification requirements are met per payor guidelines.
- Maintain current knowledge of payer requirements and general admitting practices including use of on-line verification applications and initial/ongoing training.
- Support patient in the prior authorization, appeals and denials processes.
Required
Four plus years working in revenue cycle, insurance verification/eligibility, financial securing, or related areas.- Experience with practice management software or electronic health record software
Preferred
- Previous experience with Epic
Are you ready to transform healthcare with us?
For more than 100 years, Fairview has been meeting community needs and achieving breakthrough medical advances in care. We are committed to delivering great value for our patients-higher quality, better experience and lower cost. Fairview has seven hospitals and medical centers and more than 90 primary and specialty care clinics throughout the state.
In partnership with the University of Minnesota, Fairview is an academic health system committed to nation-leading research and educating tomorrow's physicians and health care professionals. We serve patients from across the state of Minnesota, the upper Midwest and beyond.
For more than 100 years, Fairview has been meeting community needs and achieving breakthrough medical advances in care. We are committed to delivering great value for our patients-higher quality, better experience and lower cost. Fairview has seven hospitals and medical centers and more than 90 primary and specialty care clinics throughout the state.
In partnership with the University of Minnesota, Fairview is an academic health system committed to nation-leading research and educating tomorrow's physicians and health care professionals. We serve patients from across the state of Minnesota, the upper Midwest and beyond.
True to our values of dignity, integrity, service and compassion, our employees provide exceptional care to each patient, every day. Consider being part of our team today.
EEO/AA Employer/Vet/Disabled
All qualified applicants will receive consideration without regard to any lawfully protected status.
jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.