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Financial Clearance Specialist

Virtual Vocations Inc

To support the Financial Clearance Center, the full-time remote Financial Clearance Specialist will ensure payers are prepared to reimburse for scheduled services, verify insurance benefits, obtain prior authorizations, and maintain a high level of customer service for patients undergoing transplant, surgical, chemotherapy, and radiation therapy procedures. Key Responsibilities Verifies patients' insurance and benefits information for transplant, surgical, chemotherapy, and radiation therapy patients Obtains prior authorizations from third-party payers in accordance with payer requirements Maintains professional communication with patients, co-workers, and payer representatives to ensure a positive experience Required Qualifications High school graduate or GED required; Bachelor's Degree preferred Three to four years of experience with insurance authorization/verification of benefits or related areas preferred CRCS or equivalent certification for Access Professionals required within 18 months of hire Certified Medical Assistant (CMS), Licensed Practical Nurse (LPN), or Certified Professional Coder (CPC) status preferred Strong organizational skills and advanced knowledge of medical coding and third-party payer regulations

Vacancy posted 4 days ago
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