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Financial Clearance Representative III - Full Time, Days

City:  Cincinnati
State:  OH
Job Requisition Number:  242963

Attention current TriHealth employees:

Please apply for this position by submitting an online internal application via SuccessFactors. Please be certain to update your SuccessFactors Employee Profile prior to applying to this position.

 

 

FINANCIAL CLEARANCE REPRESENTATIVE III

This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, collecting payments, and/or notification as required by third party coverage providers. Purpose of this job is to verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered. Additionally, this position requires the knowledge to review medical records obtaining information such as diagnosis, prior treatment, sign and symptoms, medication and other medical information to submit requests for authorizations for surgery, testing or treatment.

 

MINIMUM REQUIREMENTS:

  • EDUCATION:

              - High School Degree Other Medical terminology course or equivalent knowledge.

  • EXPERIENCE:

              - 3-4 years of Customer Service experience in Healthcare. Experience in managed care or patient billing required.

              - 1-2 years Technical Healthcare.  Must have one year experience in insurance verification or precertification experience. Experience with automated patient account system or online verification systems.

              - Epic systems and Passport experience preferred but nor required.

  • SPECIALIZED KNOWLEDGE:

              - Knowledge of medical terminology, insurance vocabulary and processes, government and non-government third party benefits and coverage rules Understanding of the impact financial clearance services has on revenue cycle operations. and financial performance.

              - Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.

 

You can also expect at TriHealth a comprehensive Total Rewards package that includes but not limited to:

  • First class Medical, Dental and Vision insurance (Prescription drug coverage)
  • 401K
  • Disability 
  • Tuition Reimbursement Program
  • Healthy Living Program:  Earn Discounts on Medical Plan Expenses
  • Fitness Centers
  • Vendor Discounts

 

If you’re interested in joining our world-class  team Apply today!  

 

Job Keywords:

Claim Processing Specialist, Claims Clerk, Claims Customer Service Representative (Claims CSR), Claims Processor, Claims Representative, Enrollment Representative, Insurance Analyst, Policy Service Coordinator, Policy Services Representative, Processing Clerk, Precertification, Medical Insurance Representative.

 

 

 

TRIHEALTH VIDEO

 

Job Title:  Financial Clearance Representative III - Full Time, Days

Department Name:  TRIS INSURANCE VERIFICATION

Location:  Norwood

Hourly/Salaried:  Hourly

Employment Status: Full Time Position

Bi-Weekly Hours:80

Shift: Day Shift

Weekend Commitment:  No

Holiday Commitment:  No

On-Call Commitment:  No


Nearest Major Market: Cincinnati

Job Segment: Medical, EMR, Customer Service Representative, Healthcare, Customer Service