Financial Clearance Representative 1/Financial Clearance Representative II

About the role

Serves as a liaison between the organization and the patient's insurance company to facilitate and expedite financial clearance functions required for patient evaluation and treatment; creates and maintains records related to financial clearance. Serves as the liaison between admissions, authorizations, clinic staff, patient accounting and physician billing.

Responsibilities

• Serves as a liaison between the organization and the patient's insurance company to facilitate and expedite financial clearance functions required for patient evaluation and treatment; creates and maintains records related to financial clearance.
• Serves as the liaison between admissions, authorizations, clinic staff, patient accounting and physician billing.
• Administers the clinical authorization process and resolves more complex clinical authorization issues.
• Assists with training Financial Clearance Representative I's on the eligibility and benefits.
• Reviews reports to monitor unit efficiency.
• Evaluates problems and appropriately reports or resolves such issues.

Requirements

• High School diploma or High School Equivalency diploma and the equivalent of one (1) year of full-time experience in pre-certifications and follow-up procedures or a related field; or High School diploma or High School Equivalency diploma and successful completion of a Patient Access Representative traineeship at Roswell Park Comprehensive Cancer Center (Roswell Park).
• High School diploma or High School Equivalency diploma and the equivalent of three (3) years of full-time experience in pre-certifications and follow-up procedures or a related field; or High School diploma or High School Equivalency diploma and the equivalent of two (2) years of full-time experience Financial Clearance and/or Patient Access within the Financial Clearance Department at Roswell Park Comprehensive Cancer Center.

Qualifications

• Required Education and Experience: Financial Clearance Representative I - High School diploma or High School Equivalency diploma and the equivalent of one (1) year of full-time experience in pre-certifications and follow-up procedures or a related field; or High School diploma or High School Equivalency diploma and successful completion of a Patient Access Representative traineeship at Roswell Park Comprehensive Cancer Center (Roswell Park).
• Financial Clearance Representative II - High School diploma or High School Equivalency diploma and the equivalent of three (3) years of full-time experience in pre-certifications and follow-up procedures or a related field; or High School diploma or High School Equivalency diploma and the equivalent of two (2) years of full-time experience Financial Clearance and/or Patient Access within the Financial Clearance Department at Roswell Park Comprehensive Cancer Center.

Skills

• Strong communication and interpersonal skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Proficient in Microsoft Office Suite.

Benefits

Not specified.

Pay

• Starting hourly rate is $21.81 for Financial Clearance Representative I.
• Starting hourly rate is $24.39 for Financial Clearance Representative II.

Schedule

First Shift (United States of America)