Patient Clearance Representative,
Posted: January 14, 2017
Reference ID: 760628681
Adecco Medical Science is currently recruiting for Patient Clearance Representative for a 6 month agreement with posible contrac to hire in Palo Alto, CA. You must have 2 years of expereince with patient regsitration, insurance verification, and authorizations in the medivcal field. The pay rate for this position is $27 an hour and they want someone to start ASAP.
Patient Clearance Representative job includes:
Completes insurance verification, eligibility and benefit determination process utilizing integrated electronic eligibility system, payer websites, and phone for all insurance plans within the scope of the patient financial clearance department.
Applies authorization rules and requirements for all payors within the assigned work queues. Develops a strong working knowledge of the procedures and diagnosis used in the assigned service-lines to ensure authorizations are properly completed for the scope of services that will be rendered to the patient.
Assesses the data required for authorization and securing sponsorship. Communicates with respective clinics and referring providers to secure appropriate information to complete an authorization.
Identifies risk associated with coverage and benefit issues related to the services that are being requested for authorization and escalates these issues to appropriate experts to address.
Understands the role of financial counseling in securing clearance for cases that do not have authorization secured timely. Properly refers these cases as appropriate.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
High School diploma or GED equivalent experience.
Two (2) years working knowledge of patient registration and insurance verification and authorization processes in a medical organization.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Knowledge, Skills, and Abilities.
If you are interested please call to call Anthony at 925-349-0308 or send your resume to firstname.lastname@example.org