Apply on Employer Site

scch.health (Sullivan County Community Hospital) · 2 days ago

Pre-Service Financial Clearance

Sullivan, IN, US

Full-time

Onsite

Entry Level

1+ years exp

Sullivan County Community Hospital is seeking a Pre-Service Financial Clearance specialist. The role involves verifying patient demographics and insurance, pre-registering patients, and collaborating with staff to ensure smooth patient access and financial processes.

Health CareHospital

Responsibilities

Calls patient prior to service to verify demographics and insurance, and notifies of copay amount that is expected at time of service

Verifies insurance eligibility and benefits directly with payer or on payer Website prior to scheduled appointment

Pre-registers patient in Meditech and ensures billing information matches in Athena for clinical staff

Prints face sheet and labels

Documents when unable to reach patient prior to visit so that department secretary can verify demographic information at time of service

Indicates copay amount due on the face sheet sent over to office

Educates insured patient on their insurance benefits payment obligations and installment requirements prior to services

Documents all information obtained during pre-registration activities

Identifies uninsured, underinsured and low-income patients

Refers uninsured, underinsured, and low-income patients to Financial Counselors for financial assistance options and other arrangements prior to patient visit

Collaborates with Patient Account Reps and Front Desk staff before patient is seen to prevent avoidable write-offs

Qualification

Medical billing experienceCPT/HCPCS/ICD-10 codingMeditechMS ExcelCollaboration skillsWork independentlyFlexibility

Required

High school diploma or equivalent

Has one year patient access, medical billing, or prior authorization experience

Possesses medical terminology and CPT/HCPCS/ICD-10 coding knowledge

Demonstrates proficiency in Meditech and MS Excel

Professionally collaborates with staff at various levels throughout the organization, including, but not limited to: Physician Practices, HIM, Information Systems, Patient Financial Services and Clinical Directors

Works efficiently with minimal supervision

Remains flexible to accommodate staffing shortages in the Patient Access department