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Financial Clearance Specialist, Days
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Full-time
- Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
- Has thorough understanding and working knowledge of CPT and ICD-10 coding.
- Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits.
- Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital.
- Performs duties within the regulatory guidelines of the Fair Patient Billing Act and the Fair Debt Collection Act. Other duties as assigned.
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