FinancialClearanceRep

Perform all Financial Clearance duties

Gather demographic information

Obtain and verify accurate insurance information

Perform pre-service collections

Financially clear patients for each visit type

Collect and document demographic and financial information

Activate registration

Perform registration and financial functions

Pre-register patients

Document demographic and financial data

Analyze patient insurance

Identify correct insurance plan

Select insurance and plan from EPIC

Document correct insurance order

Apply recurring visit processing

Facilitate use of electronic registration tools

Verify patient information with third party payers

Collect insurance referrals

Document referrals within EPIC

Communicate with patients and physician/offices regarding authorization/referral requirements

Obtain financial responsibility forms

Screen outpatient visits for medical necessity

Provide cost estimates

Collect and document Medicare Questionnaire

Obtain information from patient if third party payers

Maintain operational knowledge of regulatory requirements and guidelines

Ensure Meaningful Use requirements are met

Screen self-pay & out of network patients

Provide information for follow up and referral to

Initiate payment plans

Inform and explain applicable government and private funding

Explain cash payment plans or discounts

Incorporate point of service (POS) collection processes

Collect CPT and ICD-10 codes

Perform medical necessity check

Prepare ABN as appropriate for Medicare primary outpatients

Manage/prepare miscellaneous reports

schedules and paperwork

Maintain inventory of supplies

Maintain and exceed department specific individual productivity standards

Meet collection targets

Meet quality audit scores for accuracy productivity

Meet collection standards

Meet standards for registrations/insurance verification