TriHealth · 1 day ago
Financial Clearance Representative III
4452 Eastgate Boulevard, Cincinnati, OH, 45245, US
Full-time
Onsite
Entry Level
1+ years expTriHealth is a healthcare organization dedicated to serving patients and communities. The Financial Clearance Representative III is responsible for verifying patient insurance, confirming benefits eligibility, and performing authorization and pre-certification to ensure accurate payment for services rendered.
Health CareService IndustryWellness
Responsibilities
Verifying patient insurance
Confirming benefits eligibility
Performing authorization and pre-certification
Calculating and estimating patient liability
Notification as required by third party coverage providers
Reviewing medical records obtaining information such as diagnosis, prior treatment, sign and symptoms, medication and other medical information to submit requests for authorizations for surgery, testing or treatment
Qualification
Required
High School Degree in Medical terminology course or equivalent knowledge
Knowledge of Medical Terminology
Insurance vocabulary and processes
Government and Non-government third party benefits and coverage rules
Understanding of the impact financial clearance services has on revenue cycle operations and financial performance
1-2 years experience
Customer Service
Healthcare
Dedication to treating both internal and external constituents as clients and customers
Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
Background in managed care or patient billing
1-2 years experience Technical Healthcare
Must have one year experience in insurance verification or precertification experience
Experience with automated patient account system or online verification systems
Company
TriHealth
TriHealth is a unified health system based in Cincinnati, Ohio, United States.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Mark C. Clement
President & Chief Executive Officer
Donna Peters
Senior Vice President & Chief Information Officer
Recent News
Fierce Healthcare
2025-10-12
Seattle TechFlash
2025-09-17
Company data provided by crunchbase