Financial Clearance Representative L2

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion

Who we are

With over 100 cutting-edge outpatient center locations dedicated to providing exceptional patient care while fostering a collaborative work environment our buckeye team includes more than 1800 nurses medical assistants physicians advanced practice providers administrative support staff IT specialists financial specialists and leaders that all play an important an employee of Ohio State University Physicians (OSUP) youll be an integral part of a team committed to advancing healthcare education and professional growth.

Our culture

At OSUP we foster a culture grounded in the values of inclusion empathy sincerity and determination. We meet our teams where they are coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and thats why we offer our employees a flexible competitive benefit addition to medical dental vision health reimbursement accounts flexible spending accounts and retirement we also offer an employee assistance program paid time off holidays and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee you will be eligible for these various benefits depending on your employment status.

• Uses integrated health information systems and telephone technology with customer service skills to facilitate customer interactions such that the customer experiences the Medical Center and its entities as an accessible coordinated and seamless entity.
• Performs an accurate search for patient in EPIC data base thus reducing the number of duplicate patient records. Assesses the patients financial ability to pay for services referring patients to financial counseling staff when appropriate.
• Sends eligibility requests to all payors to verify accurate and current coverage.
• Provides required clinical insurance and demographic information to payor to obtain precertification. Verifies insurance eligibility via various tools. Requests and creates referrals for specified population as required.
• Pre-certifies and obtains authorization numbers and enters information into patients account obtaining medical ICD and CPT codes.
• Contacts external companies to verify patients employment and insurance information for Workers compensation cases as required.
• Works with the Veterans Administration to assure services are covered and authorized.
• Provides accurate information to billing and case management to assure payment of claims.
• Interacts and maintains excellent working relationships with medical staff referring physicians and their designees to obtain complete accurate timely clinical and financial information required for payer reimbursement.
• Displays the highest level of customer service attentiveness and consideration possible in all cases keeping within the standard set by the Office of Compliance and HIPAA in reference to confidentiality.
• Alerts management of problems with systems and workflow.
• The ability to perform the duties of FCR Pre-Reg and to assist that area as assigned.
• Other duties as assigned.

• Associates degree or higher or high school diploma/GED with 2 years of experience in insurance healthcare or related field.
• Excellent customer service skills coupled with enthusiasm and compassion along with the ability to work in a fast paced environment.
• Exceptional verbal and written communication skills.
• High level of interpersonal skills to handle sensitive confidential situations and establish effective working relationships with patients physicians team members and others throughout the organization.
• Attendance promptness professionalism the ability to pay attention to detail cooperativeness with physicians co-workers and supervisors and politeness to customers vendors and patients.
• Ability to escalate issues if necessary.
• Knowledge and understanding of coding insurance and Federal State and 3rd party billing/reimbursement requirements.
• Experience with PC applications including MS Office and Internet.
• Ability to maintain employer training requirements.