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:
Bachelors 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 Now
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:
Bachelors 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 Now