Patient Financial Clearance Representative

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

Details

• Patient Financial Clearance Representative

• Insurance Financial Clearance

• PRN Status

• Day Shift

• Pay: $16.96 - $22.90 / hour

Summary

• This position possesses the highest customer services skills as the first touch in the patient experience chain. This position sets the tone for what is the first and can be the lasting impression of the patient's perception of Mosaic Life Care. Works as a liaison between Ordering Offices and Mosaic Life Care for obtaining patient information and prior authorization detail for scheduled services. Pre-certifies insurance for scheduled procedures and/or tests to expedite reimbursement and avoid authorization penalties.

• This position works under the direction of the Manager responsible for ensuring all financial record are accurate and in place prior to the patient's arrival.

Duties

• Makes outbound calls pre-service to for patients that have upcoming services scheduled with Mosaic Lifecare. Maintains a professional and courteous tone of voice and communication clearly with the patient.

• Reviews patients estimated out of pocket amount due for services for both Clinic and Medical Center services and requests payment over the phone prior to service. Also communicates any previous balance due from the patient on past balances.

• Communicates the Mosaic Lifecare Financial Assistance Policy and based on need determined by the PARO score and evaluates the patients need.

• Discusses any out of network and non-covered services with the patient to ensure the patient is prepared for any out of pocket expenses prior to service.

• Reviews and confirms patients insurance is eligible for the date of service. Research any patient that is not eligible to identify other coverage.

Qualifications

• High School Diploma or Associates Degree preferred
• 1-2 years' experience with pre-access services policies