Patient Access Services Representative

Financial Clearance Specialist

Provides pre-service financial clearance by generating patient estimates, communicating financial responsibility, and collecting payments prior to service. Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times.

Job Responsibility

• Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals.
• Verifies all required insurance information, including primary payor data.
• Notifies Nurses of any change in insurance information, as needed.
• Provides information on all insurance coverage and any patient financial responsibility to discharge planner.
• Completes all required elements of the insurance verification form.
• Enters verified insurance information into computer.
• Acts as a liaison between verifications and reimbursement.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
• Generate and communicate pre-service estimates based on insurance benefits and patient financial responsibility.
• Collect and document patient payments prior to service while providing financial counseling and payment options as needed.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

Preferred Skills/Experience: Experience with patient collections and pre-service financial counseling. Experience preparing patient estimates in a healthcare setting. Knowledge of insurance benefits, deductibles, coinsurance, and out-of-pocket calculations.

Remote Monday-Friday 10am-6pm. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $39290.00-$59800.00/year.

Salary ranges shown on third-party job sites may not accurately reflect ranges provided by Northwell Health. Candidates should check Northwell Health Careers for accurate information and discuss salary/hourly details and our comprehensive benefits with a recruiter, if selected for an interview.

Northwell Health Physician Partners