Pre Registration Clearance Representative

Job Summary

A company is looking for a Pre Registration Clearance Representative for remote work.

Key Responsibilities:

• Verify insurance eligibility and obtain benefits for scheduled patient accounts
• Secure or verify authorization and pre-certification
• Complete medical necessity checks and calculate patient's financial responsibility

Required Qualifications:

• Experience in verifying insurance eligibility and obtaining benefits
• Knowledge of medical necessity checks and billing processes
• Familiarity with electronic verification systems and payer contracting requirements
• Ability to accurately document insurance benefit information and patient demographic and financial data
• Proficiency in using diagnosis and procedure codes for outpatient services