Financial Clearance Representative (Monroe, Wa)

Financial Clearance Representative

Wage Range : $23.23 - $35.68 per hour

Hybrid Remote in Washington State

Job Summary

Financial Clearance Representatives represents EvergreenHealth as welcoming officials to patients. Responsible for accurate pre-registration of scheduled patients in a manner that promotes EvergreenHealth's values and contributes towards an optimum experience for patients. Accountable for proper patient identification to ensure patient safety. Initiates the Patient Revenue Cycle for maximum and timely reimbursement with utilization of registration functions / systems.

Primary Duties

• Enters demographic and billing information into EvergreenHealth's system.
• Performs pre-registration of patient prior to scheduled admission in accordance to the departments pre-registration procedures.
• Demonstrates knowledge of insurance payers and the use of electronic systems for verification purposes.
• Verifies insurance eligibility, obtains co-pay amounts, and medical / clinical authorization for care as needed.
• Uses electronic systems and payer websites for verification of insurance, authorizations and referrals.
• Responsible for working with physician's office to assure authorization is in place prior to scheduled service when required.
• Provides inpatient notification based on payer requirements.
• Collect copays based on departmental guidelines.
• Follows EvergreenHealth's Financial Clearance Policy.
• Obtains authorization or referral (as required) and enters into patients encounter.
• Identifies the need for financial counseling and refers patient to the Financial Counselor.
• Manage the work volume and disseminate status update to other team members as needed.

License, Certification, Education or Experience

REQUIRED for the position :

DESIRED for the position :

Benefit Information : Choices that care for you and your family At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Medical, vision and dental insurance

On-demand virtual health care

Health Savings Account

Flexible Spending Account

Life and disability insurance

Retirement plans (457(b) and 401(a) with employer contribution)

Tuition assistance for undergraduate and graduate degrees

Federal Public Service Loan Forgiveness program

Paid Time Off / Vacation

Extended Illness Bank / Sick Leave

Paid holidays

Voluntary hospital indemnity insurance

Voluntary identity theft protection

Voluntary legal insurance

Pay in lieu of benefits premium program

Free parking

Commuter benefits