Insurance Clearance Representative
Posted 2025-03-14Description:
? The Insurance Clearance Representative plays a key role in the revenue cycle by ensuring patient accounts are verified and accurate information is entered for smooth billing and reimbursement.
? This position helps minimize payment delays, reduce denials, and improve operational efficiency through proactive communication and benefit verification.
? Verify the accuracy of funding source entry during the registration process.
? Implement and perform weekly batch eligibility checks through OneSource to identify lapses in patient coverage promptly.
? Conduct in-depth validation of both professional and facility benefits for patients, ensuring accurate information is provided at registration.
? Collaborate with the team to refine policies and workflows that enhance claim processing accuracy and patient satisfaction.
? Ensure accurate and timely documentation of insurance and credit card information to support claims submission, collections and minimize denials.
Requirements: ? Bachelor?s degree in healthcare administration, business, or a related field preferred and/or 2+ years of experience in revenue cycle management, medical billing, or insurance verification ? Proficiency with Experian or similar eligibility systems ? Proficiency in Excel ? Strong understanding of insurance policies, coverage verification, and claims processes ? Exceptional attention to detail and ability to manage multiple priorities ? Excellent communication skills to work collaboratively with internal teams and external stakeholders ? Knowledge of behavioral health billing and coding practices (preferred) ? Familiarity with Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) insurance requirement (preferred)
Benefits:
? comprehensive medical/dental/vision plans
? 401k program with company matching
? generous PTO (including competitive parental leave after 1 year of employment)
? continuous training through CEU seminars and volunteering opportunities
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