Lakeshore Talent

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Lakeshore Talent is partnered with a leading Healthcare network in their search for a Financial Clearance specialist for a contract role of 3 months with the possibility of extension and/or hire. Our client is seeking candidates experienced in Epic, pre-certifications, and healthcare insurance.

Location: Downtown Chicago, IL
Pay Rate: $22/hr
Hours: 8:30am – 5:00pm Monday – Friday

Responsibilities

  • Responds to telephone inquiries and performs appropriate action(s)
  • Documents all actions taken in the appropriate software applications
  • Monitors admission / registration, scheduled surgeries, and flow of patient information through the revenue cycle
  • Serves as a resource to staff and patients for insurance related issues
  • Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered
  • Consults with physicians and their assistants whenever questions arise to insure timely approvals
  • Follows through and makes corrections in demographics and insurances as they are discovered
  • Insures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital
  • Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through systems in a patient/customer friendly manner
  • Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails
  • Informs patients of any issues with securing the financial account for their encounter and completes out-of-pocket estimations as requested by patients

Requirements

  • High School Diploma or GED equivalent required
  • Bachelor's Degree in Finance or Accounting preferred
  • Knowledge of Medicare & Medicaid
  • Previous experience with Epic
  • Previous experience with pre-certifications
  • Familiar with insurance plans

Job ID: 43090

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