Performs the following functions: Educates patients on financial responsibility regarding their scheduled appointments. Ensures accuracy of registration data and review entire patients account to ensure all charges have been appropriately processed. Focuses on building direct communication and collaborative relationships with insurance companies and other departments.
Obtains precertification and preauthorization for patients upcoming treatments.
Assists patients with drug replacement or drug assistance programs.
Works back-end denials.
Assists patients with billing questions.
Other duties as assigned.
Associate's Degree in accounting, finance or other related field may substitute for up to one year of experience of the stated experience OR a Bachelor's Degree in accounting, finance or related field may substitute for up to two years of stated experience.
Knowledge of CPT/ICD-9 coding. Proficient in CTR.
Complexity of Work:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Minimum four years previous experience in collection or other related field in a health care institution.
Experience in processing medical insurance claims is helpful.
Personal Protective Equipment:
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities