ClevelandRecruiter Since 2001
the smart solution for Cleveland jobs

Financial Clearance Representative Part Time Highland Hills

Company: University Hospitals
Location: Cleveland
Posted on: January 15, 2021

Job Description:

DescriptionJob Summary:As an essential member of the UH Patient Access Services team, Financial Clearance Representatives ensure optimal reimbursement for UH ambulatory and inpatient services from third party payers. Financial Clearance Representatives are experts in patient/physician relations, registration, scheduling, and precertification. Duties include but are not limited to the following:Obtains prior authorization for inpatient and outpatient services from government, commercial, and state agencies. Submits timely electronic and verbal notifications and clinical documentation in accordance with contractual requirements. Communicates potential issues and initiates resolution steps.Performs financial review of patient encounters and prepares patient liability estimates.Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid; explains and collects co-pays, deductibles and other patient balances; provides patient education regarding third party coverage and liabilities.Verifies, obtains any missing information and documents patient insurance information at time of service. This includes verifying health insurance coverage, eligibility dates, obtaining in and out of network benefit amounts, out of pocket limit, deductible information, life time maximum, co-payment amount, and the like.Performs a financial review of patient information in order to identify self-pay and uninsured cases.Refers patients to appropriate Financial Counselor.Ensures urgent/emergent cases are worked within 1 business day of admission and all elective cases are worked prior to date of service.Refers Worker's Compensation and uninsured accounts to appropriate agency within 48 hours of admit.Recruits and trains patients to access Personal Health Record (PHR).Ensures achievement of department productivity and quality standards.Maintains up-to-date knowledge of internal (UH) and external (third party payer) computer applications/systems, insurance/government regulatory requirements and UH/PAS policies/procedures used within the department.Executes appropriate activities to ensure compliance.Develops trusting and supportive working relationships with physicians, insurance/third party reps.Actively participates in UH emergency preparedness.Maintains a clean and organized work area.Will be cross-trained to perform other duties as assigned.May be scheduled to work at off-sites.( This role encounters Protected Health Information (PHI) as part of regular responsibilities. UH employees must abide by all requirements to safely and securely maintain PHI for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.)QualificationsQualifications:Minimum 3 years' experience in hospital billing/finance/Patient Access/healthcare, working with insurance companies/third-party payers or related experience, requiredKnowledge of managed care insurance requirements is essentialEducation:High School diploma or GED required. Degree or progress towards degree preferredA bachelor's degree will be accepted in lieu of 1 year of work experience.Medical Terminology preferredUp-to-date CHAA - (CHAA is a National Association of Healthcare Access certification for Healthcare Access Associates) or related medical certification preferredDemonstrated ability to use PCs (and toggle between multiple applications), Microsoft Office suite, and general office equipment (i.e. printers, scanners, electronic signature pads, copy machine, multi-line phone, FAX machine, etc.) requiredMust be detail-oriented and organized, with good analytical and problem solving abilityNotable client service, communication and relationship building skills requiredAbility to function independently and as a team player in a fast-paced environment requiredMust have strong written and verbal communication skillsProfessional demeanor required

Keywords: University Hospitals, Cleveland , Financial Clearance Representative Part Time Highland Hills, Other , Cleveland, Ohio

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Machinist B
Description: Machinist B BCforward is currently seeking highly motivated Machinist B an opportunity in Mentor, OH 44060 Position Title: Machinist B Location: Mentor, OH 44060 Expected Duration: 6 months Position Shifts: (more...)
Company: BCforward
Location: Mentor
Posted on: 01/23/2021

Hair Stylist - Matching 401K
Description: Job DescriptionStylist At Great Clips, we know that stylists like you are most happy when they're cutting hair, so at a Great Clips salon, that's exactly what you get to do Want to
Company: Great Clips
Location: Mansfield
Posted on: 01/23/2021

Personal Shopper
Description: Job DescriptionJob Summary As a member of our team, you will be responsible for providing exemplary customer service while maintaining the safety of customers and Team Members. You will exceed customer (more...)
Company: Giant Eagle
Location: Strongsville
Posted on: 01/23/2021


Store Support
Description: Job DescriptionPosition Purpose:Associates in Store Support positions are responsible for a variety of non-sales functions. This may include ensuring an outstanding
Company: The Home Depot - General
Location: Mentor
Posted on: 01/23/2021

Make up to $18/hour - Deliver with DoorDash
Description: Your time. Your Goals. br What is DoorDash br Available in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about connecting people with possibilities: bigger savings accounts, (more...)
Company: Doordash
Location: Mansfield
Posted on: 01/23/2021

Make up to $18/hour - Deliver with DoorDash
Description: Job Description Your time. Your Goals. What is DoorDash Available in over 4,000 cities
Company: Doordash
Location: Mansfield
Posted on: 01/23/2021

Make up to $16/hour - Deliver with DoorDash
Description: Your time. Your Goals.What is DoorDashAvailable in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about connecting people with possibilities: bigger savings accounts, wider nets, stronger (more...)
Company: Doordash
Location: Mansfield
Posted on: 01/23/2021

Make up to $18/hour - Deliver with DoorDash
Description: Job DescriptionYour time. Your Goals. What is DoorDash Available in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about connecting people with possibilities: bigger savings accounts, (more...)
Company: Doordash
Location: Mentor
Posted on: 01/23/2021

Electronic Assembly
Description: Kelly Services is hiring NOW for Electronic Assemblers. These positions are temp to hire and the following shifts are available: br br 1st shift: 7:30a-4:30p or 8:30a-5:30p Mon-Fri 14/hr br br (more...)
Company: Kelly
Location: Warren
Posted on: 01/23/2021

Resident Care Companion-Part Time -Job
Description: Danbury Senior Living is seeking Resident Care Companion Mentor 23 We currently have the
Company: Danbury Senior Living
Location: Mentor
Posted on: 01/23/2021

Log In or Create An Account

Get the latest Ohio jobs by following @recnetOH on Twitter!

Cleveland RSS job feeds