Insurance Clearance Representative

Job Highlights:

• Position: Insurance Clearance Representative
• Compensation: a competitive salary
• Location: Remote
• Company: Pathremotenetwfh
• Start Date: Immediate openings available

 

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Description: • 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 Apply Job!

 

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