Financial Clearance / Insurance Verification Specialist
Southwoods Health
Financial Clearance / Insurance Verification Specialist
Location: Southwoods Executive Centre | Boardman, Ohio
Schedule: Full-time, Monday-Friday (8:30 AM - 5:00 PM) About the Role:
Southwoods Health is seeking a Financial Clearance Specialist to join our team. You will be responsible for accurately verifying patient insurance, confirming benefits, securing authorizations, and calculating patient financial responsibility to ensure a seamless billing process. Key Responsibilities:
Apply today at: #SWH
Location: Southwoods Executive Centre | Boardman, Ohio
Schedule: Full-time, Monday-Friday (8:30 AM - 5:00 PM) About the Role:
Southwoods Health is seeking a Financial Clearance Specialist to join our team. You will be responsible for accurately verifying patient insurance, confirming benefits, securing authorizations, and calculating patient financial responsibility to ensure a seamless billing process. Key Responsibilities:
- Verification: Confirm insurance coverage, workers' compensation, and state programs for all scheduled procedures.
- Authorizations: Secure and document precertification numbers and authorizations before the date of service.
- Compliance: Maintain strict adherence to federal, state, and regulatory guidelines.
- Patient Education: Clearly communicate benefit details, in/out-of-network status, and out-of-pocket estimates to patients.
- Coordination: Update supervisors if authorizations are not secured within 72 hours of a procedure.
- Stay Informed: Keep up-to-date on changing insurance requirements for medical necessity and prior authorization.
- Experience: Previous insurance verification experience is required.
- Knowledge: Strong understanding of revenue cycle operations and financial clearance services.
- Skills: Exceptional time management and the ability to prioritize tasks in a fast-paced environment.
- Professionalism: High ethical standards and a professional demeanor at all times.
Apply today at: #SWH
Vacancy posted 4 days ago
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