Financial Clearance Rep III

Financial Clearance Specialist

Required Skills & Experience Epic EMR experience

Strong background submitting and reviewing chemotherapy and episode-based medication authorizations, including treatment plan and clinical documentation review Experience with insurance and benefit verification Experience working with major insurance plan web portals

Job Description This is a primarily remote role, candidate must sit in southern california area. First week will be on site, in addition to quarterly on site meeting. 8:30-5pm, contract to possible hire. This individual will be responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers. This role requires a high level of independent judgement in order to successfully coordinate and obtain authorization requests for complex managed care patients in a timely and efficient manner. This individual is expected to utilize telecommunications and computer information systems to pre-register patients, verify information and insurance, and obtain authorizations. The Financial Clearance Specialist is best defined as a highly independent and flexible resource that focuses on system-specific service lines that are in alignment with the patient experience initiative. Furthermore, this role must multi-task between different patient care areas to ensure an extraordinary patient experience and that quality standards are met. Must have experience in healthcare authorization/pre-registration/Insurance verification, specifically working with chemo based authorizations/verfications.