Financial Clearance Specialist III

Position Overview/Project Details:
Under the general direction of a supervisor or manager responsible for performing preregistration functions and obtaining authorizations from various insurance carriers. This role requires a high level of independent judgement in order to successfully coordinate and obtain authorization requests for complex managed care patients in a timely and efficient manner. This individual is expected to utilize telecommunications and computer information systems to preregister patients verify information and insurance and obtain authorizations. The Financial Clearance Specialist is best defined as a highly independent and flexible resource that focuses on systemspecific service lines that are in alignment with the patient experience initiative. Furthermore this role must multitask between different patient care areas to ensure an extraordinary patient experience and that quality standards are met. Additional duties include but are not limited to physician and patient communication serving as an information resource.

Authorization experience
Performs other departmental duties as assigned such as answering and making phone calls managing incoming/outgoing faxes organizing and filing departmental documents data entry etc.
Referral Coordination
PreRegistration
Customer Service
Multispecialty HEM/ONC UROSUR ONC GYN ONC etc.

Minimum Qualifications & Experience:
Three years health insurance experience and authorization experience is a must. The ability to communicate with physicians patients and health plans. Experience with electronic medical records medical terminology CPT codes and ICD10 codes. Billing experience will be considered.
At least two years front desk oncology practice experience registering patients and
EPIC EMR experience.


Minimum Education:
High School Diploma
Three years related healthcare authorization/preregistration/referral experience required.
Medical terminology and electronic medical record experience required.

Location (If remote list )
Position will be on a hybrid work from home and office rotation. (All training is on site at our Irwindale location first 3 months)