Patient Account Rep II – Financial Clearance
Job description
Job Title:
Patient Account Rep II – Financial ClearanceReq:
2023-0304Location:
VMC Main CampusDepartment:
Financial AdvocateShift:
DaysType:
Full TimeFTE:
1Hours:
9 - 5:30City State:
Renton, WASalary Range:
Min $20.54 - Max $34.58/hrly. DOE
Job Description:
JOB DESCRIPTION
The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.
TITLE: Patient Account Rep II - Financial Clearance
JOB OVERVIEW: This position is responsible for ensuring the timely financial clearance of insured accounts. Position responsibilities include timely and accurate creation of accounts; insurance verification pre-authorization; notification, pre-determination, and financial clearance of accounts prior to service. All functions must be accomplished while operating within the guidelines of federal and state agencies as well as within the confines of contractual agreements with insurance companies.
DEPARTMENT: Patient Financial Services
HOURS OF WORK: Monday - Friday Days
REPORTS TO: Manager, Financial Advocacy
PREREQUISITES:
High school graduate or equivalent (GED) required.
Two (2) or more years of equivalent work experience in a hospital, medical office/clinic, or insurance company.
Demonstrated knowledge of insurance eligibility and financial clearance.
Demonstrated knowledge of medical terminology and abbreviations.
Demonstrated knowledge of Microsoft, Word, Excel, and Outlook.
Demonstrates the ability to communicate effectively in English, including verbally and in writing. Effective communication includes the ability to spell accurately and write legibly.
Prior experience with ePREMIS, and Epic preferred.
QUALIFICATIONS:
Excellent organizational and time management skills. Ability to work effectively in a team environment.
Ability to set priorities, produce accurate work, and process all work tasks in a timely and comprehensive manner.
Comprehensive knowledge of insurance benefits, non-covered services, exclusions, pre-existing conditions, limited benefit plans, and other less-common plans.
Proven experience with online verification websites for eligibility, notifications, benefits, and medical criteria.
Ability to interact professionally and effectively with a wide variety of people, including VMC staff, providers, and patients.
Is neat and well-groomed in appearance.
UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND WORKING CONDITIONS: Same as Generic description for Clinical Administrative Partner
PERFORMANCE RESPONSIBILITIES
A. Generic Job Functions: See Generic Job Description for Clinical Administrative Partner
B. Unique Job Functions:
Reviews and edits information in healthcare ADT system, ensuring all fields are populated correctly.
Ensures accounts are registered, verified, and financially cleared per guidelines. Adheres to financial clearance deadlines.
Reviews and prioritizes tasks based on department needs.
Ensures timely notification of hospital admissions regarding payor requirements.
Collaborates with team members and other Revenue Cycle departments as needed to financially clear accounts.
Refers accounts to Financial Advocates where appropriate.
Communicates system and access needs to coordinator and manager in a timely manner to keep the financial clearance process moving.
Maintains current knowledge of insurance plan updates to ensure that bills are compliant with payor requirements.
Maintains confidentiality of all protected health information and patient financial information and views information only when there is a business need.
Follows Patient Identification guidelines.
Maintains thorough documentation of the work done on every account.
Maintains flexibility in job duties to allow for cross training based on department needs.
Adheres to policies and procedures as required by VMC, including the Attendance policy.
Performs other related job duties as assigned.
Created:1/2013
Revised: 8/22, 11/22
FLSA: NE
Grade: OPEIU - K
CC: Varies
Job Qualifications:
PREREQUISITES:
High school graduate or equivalent (GED) required.
Two (2) or more years of equivalent work experience in a hospital, medical office/clinic, or insurance company.
Demonstrated knowledge of insurance eligibility and financial clearance.
Demonstrated knowledge of medical terminology and abbreviations.
Demonstrated knowledge of Microsoft, Word, Excel, and Outlook.
Demonstrates the ability to communicate effectively in English, including verbally and in writing. Effective communication includes the ability to spell accurately and write legibly.
Prior experience with ePREMIS, and Epic preferred.
QUALIFICATIONS:
Excellent organizational and time management skills. Ability to work effectively in a team environment.
Ability to set priorities, produce accurate work, and process all work tasks in a timely and comprehensive manner.
Comprehensive knowledge of insurance benefits, non-covered services, exclusions, pre-existing conditions, limited benefit plans, and other less-common plans.
Proven experience with online verification websites for eligibility, notifications, benefits, and medical criteria.
Ability to interact professionally and effectively with a wide variety of people, including VMC staff, providers, and patients.
Is neat and well-groomed in appearance.
jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.