Financial Clearance Rep

NEW HAVEN, CT
Nov 6, 2019

Share:
This job has no Apply URL.

Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Financial Clearance Representative is responsible for ensuring that payers are prepared to reimburse for scheduled services in accordance with the payer-provider contract. When physicians and clinicians make care decisions, this individual is aware of how a patient's benefits fit into the care plan, and keeps patients and physicians informed of such as they seek to obtain authorizations from payers. This role contacts payers to request service authorization and may collect financial and/or demographic information from patients as needed. In all encounters with patients, families, physicians and their staff will strive for the highest level of customer service. The efficiency of obtaining accurate information, while providing excellent customer service is an essential function of this job.

EEO/AA/Disability/Veteran

Responsibilities

  • 1. Verifies patients' insurance and benefits information.
    • 1.1 Responsible for any verification (IP and OP) of authorizations obtained by non YNHHS, YMG, NEMG.
  • 2. Obtains prior authorizations from third-party payers in accordance with payer requirements.
    • 2.1 Utilizes all necessary Epic applications from booking to obtain procedure codes as needed.
  • 3. Maintains professional approach at all times when communicating with patients, co-workers, payer representatives and patients to ensure a positive and professional experience.
    • 3.1 Contacts patients as needed to gather demographic and insurance information, and updates patient information within the EMR as necessary.
  • 4. Performs other duties as assigned by Supervisor.
    • 4.1 Identifies and recommends opportunities to improve Patient Access or Financial Clearance activities.

Qualifications

EDUCATION


High school graduate or GED required with work in healthcare or business preferred. Associate Degree preferred.


EXPERIENCE


One (1) to two (2) years of work experience with insurance authorization/verification of benefits, revenue cycle functions, hospital/physician offices, or related areas required.


SPECIAL SKILLS


Strong organizational skills and ability to prioritize tasks. Strong interpersonal skills and ability to build rapport with a wide variety of individuals. Working knowledge of Microsoft Office, Word, and Excel. Familiarity with medical terminology and healthcare insurance processes. Knowledge of payer reimbursement processes and insurance terminology.


Share:
This job has no Apply URL.
 

Not ready to apply, but interested in working at Yale New Haven Health?

Join our Talent Network

Job Info

Job: 13980

Department: Financial Clearance Center
Category: FINANCE
Sub Category: GENERAL CLERICAL
Status: Part Time Benefits Eligible
Shift: D
Hours: 32

Similar Jobs

Coder

NEW HAVEN, CT
FINANCE

Pt Financial Access Spec ED

NEW HAVEN, CT
FINANCE

Charge Capture Analyst

NEW HAVEN, CT
FINANCE

Pt Financial Access Counselor

NEW HAVEN, CT
FINANCE

Financial Clearance Rep

NEW HAVEN, CT
FINANCE

NY Medicaid Biller

CT:Branford",
FINANCE

Financial Analyst II

NEW HAVEN, CT
FINANCE

Accountant/Analyst

NEW HAVEN, CT
FINANCE

PT Financial Access Fcltator

NEW HAVEN, CT
FINANCE

Payroll /Tax Dept Support

NEW HAVEN, CT
FINANCE

Payroll Associate

New Haven, CT
FINANCE

Accts Payable Service Rep 1

NEW HAVEN, CT
FINANCE

Contract Analyst

NEW HAVEN, CT
FINANCE

Financial Clearance Specialist

NEW HAVEN, CT
FINANCE

Account Resolution Analyst

NEW HAVEN, CT
FINANCE

Sr. Reimbursement Analyst

NEW HAVEN, CT
FINANCE

Accounts Receivable Analyst

NEW HAVEN, CT
FINANCE

Sr Financial Accountant

NEW HAVEN, CT
FINANCE

Acct Resolution Anaylst

NEW HAVEN, CT
FINANCE

Payer Enrollment Specialist

NEW HAVEN, CT
FINANCE

PT Financial Access Facilitator

North Haven, CT
FINANCE