Financial Clearance Advocate Full Time Monday through Friday Days

Job Summary :

Job Description

Essential Responsibilities:

1. Verifies inpatient, observation admissions and other tests/procedures at HRH according to Patient Access Services departmental policy - includes eligibility, benefit, limitations, network requirements as well as basic claim filing information. Makes timely, initial contact with insurance companies/third party payers to start pre-certification, pre-authorization or notification in accordance to requirements of contracted insurance companies in order to ensure benefits are paid at highest contracted level without penalty to hospital, physician or patient.

2. Provides timely information to appropriate Care Coordinator for completion of medical management requirements.

3. Updates patient Billing/Accounts Receivable records with corrections to insurance and informs Patient Financial Services, Health Information Management and Patient Access Services as well as physicians involved in patient care.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice.

Education and Experience Required:

1.High School Diploma /equivalent or commercial school graduate with special emphasis on office related skills. Additional education in business and / or medical staff office procedures desired.

2. Medical Terminology is preferred.

3. One year of medical business office experience.

Work Shift :

Scheduled Weekly Hours :