FINANCIAL CLEARANCE REPRESENTATIVE III

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, 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. None None None

EXPERIENCE: 1-2 years Customer Service Healthcare 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. Background in managed care or patient billing. 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.

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 .