Insurance Clearance Representative

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!