Financial Clearance Specialist Iii - Prearrival - Full Time 8 Hour Days (non-exempt) (non-union)
University of Southern California
Los Angeles, CA, US
Hourly: $25.00 - $39.69; bonus/equity: not specifi...
2 years admitting or insurance verification experience
Verify insurance eligibility and benefits
Calculate patient liability and co-pays
The Financial Clearance Specialist III ensures insurance eligibility, benefit verification, and authorization processes are complete to prevent claim denials
Job Summary
The Financial Clearance Specialist III ensures insurance eligibility, benefit verification, and authorization processes are complete to prevent claim denials.
Responsibilities include calculating patient liability, submitting authorizations for surgeries and procedures, and communicating with providers regarding coverage issues.
Candidates must possess broad experience in financial counseling, knowledge of medical coding, and the ability to interpret HMO and payer plan requirements.
Matching Summary
The Financial Clearance Specialist III ensures insurance eligibility, benefit verification, and authorization processes are complete to prevent claim denials.
Salary
Hourly: $25.00 - $39.69; Bonus/Equity: Not specified; Benefits: Not specified
Skills & Requirements
Must-have
2 years admitting or insurance verification experience
Verify insurance eligibility and benefits
Calculate patient liability and co-pays
Submit pre-certification and authorizations
Knowledge of CPT codes and medical terminology
Nice-to-have
Experience with Valor software tool
Strong problem-solving customer skills
Ability to handle complex payer issues
Excellent time management and organizational skills
Key Requirements
High school diploma or GED required
2 years Admitting/insurance verification experience
Fire Life Safety Training (LA City) within 30 days if hired