Hospital Financial Clearance Verification Specialist

Chicago, IL

Posted: 09/25/2020 Job Category: Information Technology (IT) Job Number: 3479

Job Description


WalkerHealthcareIT is seeking Financial Clearance (Insurance Verification) Specialists with experience in a hospital setting  along with Epic authorization and registration tool experience for one of our premier healthcare clients in Chicago!

Chosen Insurance Verification Specialist may work on a contract or contract-to-hire basis  with the opportunity to convert to a full-time employee of the client upon successful completion of the contract period!  

START DATE: ASAP

ON-SITE / REMOTE: Onsite with potential for a Remote option

WAGE TYPE: 1099, W2

WalkerHealthcareIT Standard Perks
  • Weekly pay via Direct Deposit

INSURANCE VERIFICATION SPECIALIST JOB RESPONSIBILITIES

Performing insurance verification and pre-authorization for hospital setting inpatient / outpatient services, specialist will assist to ensure services performed  have met medical necessity guidelines of the insurance carrier and preauthorization/referrals have been obtained per the payers requirements, maximizing reimbursement in the claim submission process.
  • Contacts insurance providers to obtain any applicable authorization types prior to service.
  • Obtains and / or coordinates with third-party payers authorizations for services.
  • Monitors expiration of authorizations and initiates requests for extensions.
  • Documents and updates all authorizations obtained.
  • Obtains and scans all appropriate documents, as applicable.
  • Maintains applicable assigned work queues and expected lead times, documenting and closing tasks upon completion.
  • Updates work in progress on outstanding tasks, maintaining expected lead times and organization while completing tasks.
  • Consistently performs and exceeds departmental minimum expected productivity goals.
  • Ability to complete registration and coverage verification, as necessary.
  • Determines if patient is eligible for intended care. If necessary, contacts patient to obtain correct insurance information, or informs patient of self-pay policy.
  • May perform patient estimates, as necessary.
  • Updates all demographic/ coverage / eligibility information in the system.
  • Provides excellent customer services to patients, providers, and clinic staff in person and via telephone.
  • Continues education on payers / payer requirements and contracts.
  • Maintains technical knowledge of items necessary for financial clearance for intended services.
  • Stays up-to-date as policies and necessary documentation and payer requirements may change.
  • Maintains competence and technical knowledge within necessary registration and eligibility systems.

We want to speak with you today if you have the following qualifications:
  • Minimum of 2-3 years previous preauthorization/financial clearance experience in a hospital setting
  • Demonstrated proficiency and level of comfort contacting insurance companies by phone, email and payer portals to request authorization for clinical services rendered in hospital for inpatient/outpatient services.
  • Epic experience using authorization and precertification tools is required.

Contact our Recruiting Team today to experience the WalkerHealthcareIT difference!

Job Requirements

Financial Clearance Specialist, Insurance Verification, Payer, Eligibility

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