Talent.com
Effizotech
REMOTE: Financial Clearance Specialist 1 (No Degree RQD) SavistaEffizotech • Des Plaines, IL, United States
No longer accepting applications
REMOTE: Financial Clearance Specialist 1 (No Degree RQD) Savista

REMOTE: Financial Clearance Specialist 1 (No Degree RQD) Savista

Effizotech • Des Plaines, IL, United States
7 days ago
Job type
  • Full-time
  • Remote
Job description

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Essential Duties & Responsibilities

  • Process and verify administrative and financial components of financial clearance, including validation of insurance benefits, medical necessity, routine and complex pre-certification, prior-authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
  • Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
  • Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance.
  • Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services.
  • Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters.
  • Process stat request prioritization.
  • Verify, edit and/or remove user-defined referral counts editing final status of referrals.
  • Edit the scheduled date within the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates.
  • Apply critical thinking skills to identify and resolve problems proactively.

Qualifications & Competencies

  • High School Diploma or equivalent.
  • 3+years’ experience with patient registration in a hospital or physician office, directly with obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations.
  • Proficient with commercial and government insurance plans, payer networks, government resources.
  • Proficient with medical and insurance terminology.
  • Strong customer service skills, including ability to understand, interpret, evaluate, and resolve basic to complex service issues.
  • Strong attention to detail and accuracy.
  • Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, client, and external agencies.
  • Ability to work with a variety of stakeholders.
  • Proficient in utilizing a variety of computer applications and software, including but not limited to Microsoft Office Suite, Internet Explorer, and other relevant programs.
  • Proven track record in roles that involve managing multiple critical priorities, with a focus on delivering high-quality results and meeting performance metrics.

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $21.00 to $23.00 per hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, natio

#J-18808-Ljbffr
Create a job alert for this search

REMOTE: Financial Clearance Specialist 1 (No Degree RQD) Savista • Des Plaines, IL, United States

Similar jobs

Closing Specialist l

Dovenmuehle Mortgage, Inc.Lake Zurich, IL, United States
Full-time

Dovenmuehle") is the leading mortgage subservicing firm in the United States with several hundred financial institution clients nationwide.To mitigate potential losses on delinquent loans using var... Show more

 • Promoted

Captive Risk Consultant

Arthur J Gallagher & CoRolling Meadows, IL, United States
Full-time

Artex Risk Management Consultant.At Artex, we reimagine what risk management can be and we do it with bold thinking, deep expertise, and an unwavering belief in what's possible.As part of our globa... Show more

 • Promoted

Financial Assessor Patient Accounting, Days (Remote - Must reside in IL, IN, IA, or WI)

Northwestern MedicineOak Brook, IL, United States
Remote
Full-time

DescriptionThe Financial Assessor Patient Accounting reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with... Show more

 • Promoted

Underwriting Analyst (Stop Loss Insurance) – Remote or Hybrid

Daley And Associates, LLCWaukegan, IL, United States
Remote
Full-time

Underwriting Analyst (Stop Loss Insurance) – Remote or Hybrid.We are seeking a detail-oriented and analytically driven.Stop Loss underwriting team supporting complex risk assessment and pricing dec... Show more

 • Promoted

Sr Financial Analyst, North America Distribution

VeraltoRomeoville, IL, United States
Full-time

Sr Financial Analyst, North America Distribution.Part of a global, high performing team.Growing within a company that has a proven track record of success and talent development.Making a meaningful... Show more

 • Promoted

Sr Financial Analyst, North America Distribution

HachRomeoville, IL, United States
Full-time

Sr Financial Analyst, North America Distribution.Part of a global, high performing team.Growing within a company that has a proven track record of success and talent development.Making a meaningful... Show more

 • Promoted

Claims Resolution Specialist

Jorie AIOak Brook, IL, United States
Full-time

The Claims Resolution Specialist is responsible for managing Accounts Receivable and resolving clearinghouse rejections across multiple specialties and clients.This role requires deep end to end re... Show more

 • Promoted

Registered Financial Client Associate

Benjamin F Edwards & CoWheaton, IL, United States
Full-time

Registered Financial Client Associate.The Wheaton, Illinois branch of Benjamin F.Edwards is seeking a Registered Financial Client Associate to join our team.The Registered Financial Client Associat... Show more

 • Promoted

Open Enrollment Specialist

USHEALTHNorth Chicago, IL, US
$90,000.00 yearly
Full-time

Open Enrollment Specialist You'll work directly with Americas self-employed, small business owners and individuals to help them access a product suite of affordable benefits and business services.O... Show more

 • Promoted

Cash Applications Specialist

UlineWaukegan, IL, US
$23.00–$25.00 hourly
Full-time

Cash Applications Specialist Pay from $25 to $27 per hour 2200 S.Lakeside Drive, Waukegan, IL 60085 Do you thrive on accuracy and enjoy working with numbers? Uline is looking for a Cash Application... Show more

 • Promoted

Financial Crimes Unit Specialist

OnbeBuffalo Grove, IL, United States
Full-time

Financial Crimes Unit Specialist.Buffalo Grove, Illinois, United States.Onbe, a fast-growing FinTech, bringing innovation to a rapidly growing global marketplace, stands for "on behalf.Because that... Show more

 • Promoted

Regional Director Finance - West (Remote opportunity)

Hispanic Alliance for Career EnhancementLake Forest, IL, United States
Remote
Full-time

SummaryThe Hyatt Hotels Corporation seeks an enthusiastic Regional Director, Hotel Finance, to join our Americas Finance team.The Regional Director of Finance (RDOF) provides strategic financial le... Show more

 • Promoted

Remote Lead Financial Analyst - AI Trainer ($50-$60 per hour)

Data AnnotationPark City, Illinois
$50.00 hourly
Remote
Full-time +1

DataAnnotation is committed to creating high-quality AI.Join our team to help train the next generation of AI while enjoying the flexibility of remote work and the freedom to set your own&nbsp... Show more

 • Promoted

Remote Financial Trading Specialist ($100/hr) - 75402

TuringCarol Stream, IL, United States
Remote
Full-time

Based in San Francisco, California, Turing is the world's leading research accelerator for frontier AI labs and a trusted partner for global enterprises deploying advanced AI systems.Turing support... Show more

 • Promoted

Financial Advisor

AvenicaOak Brook, IL, United States
Full-time

Lakeshore Financial Group: Office location options in both Chicago, IL & Oakbrook, IL.Location & Work Authorization Requirements Candidates must currently reside within a reasonable commuting dista... Show more

 • Promoted

Account Specialist - US

Generis Tek IncDeerfield, IL, United States
Permanent

The Account Specialist II will assist Account Executives/Brokers on assigned accounts, managing key processes and undertaking client facing and internal activities as they relate to our commercial ... Show more

 • Promoted

Sr. Credit Analyst

Ace Hardware CorporationOak Brook, IL, US
Full-time

The Senior Credit Analyst supports US‑based retail partners by performing advanced financial statement analysis, underwriting credit and loan applications, and managing collections for a multi‑mill... Show more

 • Promoted

Remote Financial Analyst

Micro1Hawthorn Woods, Illinois, US
Remote
Full-time +1

Investment Strategy & Advisory.Predictive Analytics & Visualization.Real-world expertise is turned into training data, evaluations, and feedback loops that improve how models perform.AI lab... Show more

 • Promoted

Application Portfolio Management Lead

DivIHN Integration IncDeerfield, IL, US
Permanent

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between tal... Show more

 • Promoted

Financial Consultant - Highland Park, IL

Fidelity InvestmentsRound Lake, IL, US
Full-time

If you no longer want to spend your time on sourcing new clients and would rather have the time to deepen relationships and create complex financial plans, then join a team that is a stable industr... Show more