Pre-Certification Financial Clearance Rep - Cleveland, United States - Hamilton Healthcare System

Description

JOB SUMMARY
Under the direct supervision of the Practice Manager, the representative verifies demographic and financial information.

Seeks to help patients understand their financial responsibilities, giving the estimated out-of-pocket responsibilities and payment options; at all times providing first-class service, to set the tone for the patient's journey of care, as well as educate and manage the financial expectations for the patient prior to surgery or testing.

Schedules the patient with the appropriate facility and contacts pre-admission testing. Provides information to the patient regarding when and where to report to Hamilton Medical Center. Obtains necessary pre-certifications for testing and procedures. Makes appointments in response to any recalls on procedures.

Qualifications


JOB QUALIFICATIONS

Education:
Completion of a high school diploma required. College level courses preferred.


Licensure:
N/A


Experience:
Prefer previous work experience in a position of meeting and communicating with the public.

Prefer 1 to 2 years' experience in a hospital billing office, medical office registration, medical billing office or other health care setting.

Skills:
Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of Medical Terminology and third party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing. Intermediate proficiency in Microsoft Outlook, Word and Excel.

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Normal business office environment. Constant sitting and limited freedom of movement. Ability to work under conditions of frequent interruption. Poise, tact and courtesy is necessary when dealing with patients. Must be detail oriented.

Must be able to assert initiative and judgment involved in classifying financial data and maintaining the normal flow of work.