Financial Clearance Representative

Financial Clearance Representative Location Washington, DC (Catholic University area) : Department: Emergency Room Status: Full-time, 40 hours per week Schedule: Overnight Shift, 10:30pm-7:00am with rotating weekends Job Summary: Independently completes pre-registration and financial clearance activities for Washington Hospital Center patients.
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Primary Duties: Completes Pre-registration activities and documents results in the registration system for scheduled patients, including contacting patients by phone or in person to obtain and verify demographic and insurance information, communicate outstanding liability, and relay necessary pre-arrival instructions. Uses customer service skills while communicating with the patient, insurance company, employer or third party payor to secure all demographic and financial data necessary for accurate and complete demographic and financial information. Reviews and updates demographic/insurance information and accounts status to ensure accounts meet payer requirements/timeframes for billing and payment. Ensures data quality standards are met through quality monitoring and report reviews. Educates patients and family members on insurance coverage and requirements, available resources, and hospital billing processes to ensure that patient's financial commitment to the institution is met. Qualifications: High School Diploma or GED required 1 to 3 years related experience required Medicare Regulation Certification within 1 Year required This position is represented by the Service Employees International Union (SEIU)