Savista is seeking a Financial Clearance Specialist 1 to join our team. Under general supervision, you will be responsible for processing the patient, insurance, and financial clearance aspects for both scheduled and non-scheduled appointments. This includes validation of insurance benefits, routine and complex pre-certification, prior authorizations, scheduling, pre-registration, and triaging routine financial clearance work.
What You'll Do
- Process and verify administrative and financial components of financial clearance, including insurance benefits validation, medical necessity checks, pre-certification, prior-authorization, scheduling, pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket costs.
- Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
- Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance.
- Serve as a liaison between patients, insurance payors, and providers to obtain prior authorization for pre-scheduled services.
- Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters.
- Process stat request prioritization.
- Verify demographic information and apply payor changes to registration.
- Verify, edit, and/or remove user-defined referral counts, editing final status of referrals.
- Edit scheduled dates within referrals, pend referrals to pools, suppress expiring referral messages, access assigned referral work queues, defer/activate referral work queue items, and use referral templates.
- Apply critical thinking skills to identify and resolve problems proactively.
What We're Looking For
- 3+ years of experience with patient registration in a hospital or physician office, directly obtaining patient demographic and financial information, handling insurance verification, and obtaining authorizations.
- Proficiency with commercial and government insurance plans, payer networks, and government resources.
- Proficiency with medical and insurance terminology.
- Strong customer service skills, including the ability to understand, interpret, evaluate, and resolve basic to complex service issues.
- Strong attention to detail and accuracy.
- Excellent verbal and written communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, management, patients, clients, and external agencies.
- Ability to work with a variety of stakeholders.
- Proficient in utilizing a variety of computer applications and software, including but not limited to Microsoft Office Suite, Internet Explorer, and other relevant programs.
- Proven track record in roles that involve managing multiple critical priorities, with a focus on delivering high-quality results and meeting performance metrics.
Technical Stack
- Microsoft Office Suite
- Internet Explorer
- Other relevant programs
Benefits & Compensation
- Hourly rate: $18.00 to $22.00
Savista is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity, or any other federal, state, or local protected class.
