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We are looking for a detail-oriented individual to support patient access and financial clearance activities. This role focuses on preparing patients for upcoming services by confirming coverage, gathering registration details, and explaining expected out-of-pocket costs with clarity and professionalism. The ideal candidate brings experience in healthcare front-end revenue cycle work and can manage a high-volume workload while maintaining accuracy, compliance, and a patient-centered approach.
Job Responsibility
Conduct pre-registration conversations with patients to gather demographic, insurance, and service-related details, then enter complete and accurate information into Epic
Review active insurance coverage for scheduled visits or admissions by completing eligibility checks and documenting verification results in the appropriate system
Analyze plan benefits for upcoming services, including effective dates, limitations, authorization needs, and potential patient payment obligations
Prepare and communicate cost estimates so patients have a clear understanding of anticipated financial responsibility before care is delivered
Explain applicable patient-facing policies and required documentation, including treatment-related acknowledgments, general rights information, and other registration materials
Identify situations involving limited or insufficient coverage, discuss available assistance options, and connect patients with financial counseling or government support resources when appropriate
Provide guidance to newer team members by sharing knowledge related to payer requirements, revenue cycle processes, and issues that affect financial clearance outcomes
Support additional operational tasks as needed to help maintain workflow quality, productivity, and service standards in a high-volume environment
Requirements
Experience in healthcare revenue cycle operations, with emphasis on front-end financial clearance, pre-registration, or related patient access functions
Strong background in insurance verification, benefits review, prior authorization support, and interpretation of patient liability for healthcare services
Working knowledge of commercial insurance, Medicare, and Medicaid plans, including coverage rules, limitations, and coordination considerations
Proficiency with EMR or EHR platforms, with Epic experience required
Ability to perform effectively in fast-paced, productivity-focused settings while maintaining a high level of accuracy and attention to detail
Solid understanding of medical terminology, healthcare procedures, and billing-related workflows
Effective written and verbal communication skills, with the ability to explain financial information to patients in a clear and thorough manner