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VCU Health · 1 day ago

Patient Financial Clearance Representative Senior - One Capital Square - Remote

United States

Full-time

Remote

Mid, Senior Level

3+ years exp

VCU Health is a prominent healthcare organization, and they are seeking a Patient Financial Clearance Representative Senior to manage patient financial information and ensure accurate registration data. This role involves validating insurance eligibility, providing training to new representatives, and maintaining high accuracy in patient data management.

Hospital & Health Care

H1B Sponsor Likely

Responsibilities

Communicates effectively with patients, clinical staff, and providers when the postponement of services is necessary due to lack of eligibility or benefits

Prioritizes and coordinates patient accounts that require completion of patient demographic, third party payer and visit data prior to the appointment date. Independently resolves missing or incorrect data elements, specifically for defined critical data set

Applies additions and revisions to patient’s EPIC account utilizing established registration policies and procedures

Determines appropriateness of applying plan additions or revisions to past and future scheduled visits and takes appropriate action

Contacts patient or guarantor by phone, portal, email, or mail and communicates in a professional and courteous manner as necessary to complete or update demographic, third party payer or visit data

Uses knowledge and accuracy in updating registration data according to established policies and procedures by consistently achieving an accuracy rate of 97% or greater on the EPIC Registration Audit Program

Confirms eligibility and benefits of current health plan for assigned patients prior to scheduled outpatient visit date

Utilizes combination of on-line eligibility tool, health plan web-based sites, and telephone confirmation with health plan representative to determine current eligibility and benefits

If eligibility or benefit confirmation is unsuccessful after exhausting all available methodologies, contacts patient or guarantor by phone, email, or portal to communicate eligibility and benefit limitations and/or obtain new health plan data

May require ability to cancel or reschedule appointments when additional time is needed to confirm health plan eligibility and/or benefits to guarantee payment

Provides coaching and supports the development and acquisition of job-specific skills

Ensures responsibility and visible commitment to diversity, equity, and inclusion programs/initiatives through collaboration and implementation of initiatives across the health system

Perform other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and the Department

Qualification

Health insurance knowledgePatient registration systemsICDCPT codingMedical terminologyCustomer service skillsCultural responsivenessMicrosoft Office proficiency

Required

Minimum three (3) years of previous experience in a health care setting to include: Experience in commercial, managed care and governmental health insurance plans

One (1) year experience in insurance plan authorization and referral requirements; or medical billing

Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc

Strong customer service skills and patients/customers centered focus in a positive manner in all situations

Cultural Responsiveness: Demonstrates a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias

Preferred

Use of Patient Registration or other medical billing/registration systems, ICD and CPT coding, medical terminology

Company

VCU Health

Glassdoor3.6

VCU Medical Center is a school. It is a sub-organization of Virginia Commonwealth University.

Founded in 1838

Richmond, Virginia, USA

10001+ employees

https://www.vcuhealth.org

H1B Sponsorship

VCU Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (47)

2024 (32)

2023 (37)

2022 (45)

2021 (44)

2020 (33)