Senior Insurance Clearance Representative

Job Summary

A company is looking for a Senior Insurance Clearance Representative.

Key Responsibilities

• Manage insurance authorization for inpatient and outpatient services by analyzing clinical data and ensuring compliance with payor guidelines
• Consult with patients regarding uninsured status and financial responsibilities, and communicate authorization outcomes
• Pre-register and register patients, ensuring accurate entry of demographic and insurance information in the system

Required Qualifications

• High School Graduate
• Typically requires 2 years of experience in health care, insurance, call center, or customer service
• No specific licensure or certification required
• Operational knowledge of various health departments
• Familiarity with medical terminology and basic human anatomy