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Financial Clearance Representative II - Full Time, Days

City:  Norwood
State:  OH
Job Requisition Number:  242520

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.


Are you looking for career advancement, new learning opportunities and teamwork environment?  Then no need to keep looking, TriHealth have the perfect opportunity for you!


We are looking for a dynamic and engaged indivividual to join our fianancial team as Financial Clearance Representative II at our Norwood, OH location.


As Financial Clearance Representative II, you are 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.


You will also:

  • Verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered.
  • Able to discuss complex medical terms and prior treatment with physician office staff necessary to obtain authorization.
  • 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.


To be qualified for this position, you must meet the following minimum requirements:


             > High School Degree or GED

             > Medical terminology course or equivalent knowledge.


             > Epic registration experience preferred.

             > Excellent customer service and verbal skills essential.


             > 2-3 years Customer Service Healthcare.  Current or recent Pre-certification experience is required. 

             > Background in managed care or patient billing.

             > 1-2 years of Technical Healthcare experience

                     * Basic understanding of office operations.

                     * Computer Skills (Microsoft programs including, Excel, Outlook, Word, etc.)

                     * Experience with automated patient account system or online verification systems.


              > 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.


You can also expect an excellent Total Rewards package that includes but not limited to:

  • Competitive pay
  • 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


Interested?  Do you want to learn more?  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, Pre-certification Specialist, Insurance verification, Medical Insurance


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


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