Financial Clearance Rep (Insurance)

Position Summary

Responsible for collection and management of Medicare and insurance co-pays. The completion of Medicare and insurance verifications for therapy services and coordinates with the Insurance Verification Specialist for completion of verifications for inpatient services. At the time of check-in, ensure the client understands and has signed all intake paperwork. The representative works closely with clients and their families to communicate the financial responsibility for the services rendered.

Pay: $17 - $18 per hour.

Essential Duties and Responsibilities

Oversee the collection of Medicare and insurance co-pays
Completes verifications for all Part B referrals/ services. This includes primary & secondary policies
Coordinates with the Insurance Verification Specialist for the completion of Part A verifications as needed. This includes primary & secondary policies
Coordinates with the Insurance Verification Specialist for the completion of insurance pre-certs, appeals & updates as needed
Correctly interpret verifications and input data accordingly
Discuss benefit information with clients as needed
Work with admissions staff to discuss client co-pays at the time of admit
Assist the billing team by meeting with clients and their families as needed to discuss financial account
Document all pertinent information regarding client encounters in Point Click Care
Maintains & completes intake (sign in) paperwork for Jamestowne facility
Demonstrates customer service and empathy as the primary representative of the organization during the intake process and financial discussions
Serves as backup for the Insurance Verification Specialist position as needed
All other duties as assigned and/or appropriate to the position.

Minimum Job Requirements

Education: High School Diploma or equivalent required
Licenses or other required certifications:
Experience: 1+ office experience working in Long Term Care or Rehabilitation Care with increasing responsibilities or working with insurance or intake; working knowledge of the Point Click Care software a plus

Specialized knowledge, skills, or abilities:
Detailed knowledge of how to verify benefits for all government, and commercial payer’s, as well as obtaining authorizations as needed for services provided to the client
Demonstrate a willingness to cooperate; work to have open communication with co-workers as it pertains to the benefits and authorization of services for all clients
Have the ability to initiate projects, anticipate changes or needs, set priorities, follow and meet deadlines
Strong display of customer service and empathy in working with clients, and caregivers
Comfortable working with technology
Adaptable to company and insurer changes and readily incorporate changes into daily work.
Demonstrates initiative in problem-solving and decision making

Community First Solutions is an Equal Opportunity Employer