Patient Financial Clearance Representative- (Full-time, Coos Bay office location)

About the role

The Patient Financial Clearance Representative, under direct supervision of the Revenue Cycle Supervisor, performs specialized functions for CVH patients by completing all activities related to insurance verification, processing referrals and securing appropriate authorization. The representative has knowledge of healthcare payers such as Commercial, Medicare, Medicaid, Workers’ Compensation and all Managed Care plans as well as State and Federal Regulations. Location: Coos Bay, OR | Employment Type: Full-Time

Responsibilities

• Performs pre-registration and financial clearance for multiple patient types (inpatient admissions, outpatient observation, diagnostic outpatients, and ambulatory (day) surgery.
• Completes insurance verification, eligibility and benefit determination process utilizing integrated electronic eligibility system, payer websites, and phone for all insurance plans within the scope of the patient financial clearance department.
• Interprets and