[Hiring] Financial Clearance Representative @Fairview Health Services

Role Description

We are seeking a financial clearance rep (FCR) to join our rehab services team!

• The FCR must effectively articulate payor information for therapists, patients, and families.
• Responsible for completing insurance and benefits verification to determine patient benefit levels for outpatient therapy services, including:
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Cardiac rehab
  • Pulmonary rehab
  • Hearing aids/audiology
• Obtain benefit levels and screen payor medical policies to determine medical necessity.
• Submit and manage referral and authorization requests/requirements.
• Ensure pre-certification notification requirements are met per payor guidelines.
• Provide support and process prior authorization appeals and denials as necessary.
• Make decisions on collaboration with providers, clinical staff, insurance payors, and external sources to assist in obtaining healthcare benefits.

FTE 1.0, authorized for 80 hours per pay period.

Schedule: Monday-Friday, 8:30am - 5:00pm.

Remote position.

Qualifications

• 1 year experience in insurance verification/eligibility, financial securing, or related areas.
• Experience with electronic health record software.

Requirements

• Associate of Science (preferred).
• Vocational/Technical Training (preferred).
• Epic experience (preferred).
• Insurance/benefit verification experience (preferred).
• Referrals and/or prior authorization experience (preferred).
• Knowledge of medical terminology and clinical documentation review (preferred).
• 2 years of experience working in insurance/benefit verification, financial securing, or related areas using an EHR in a healthcare organization (preferred).
• Knowledge of computer system applications, including Microsoft Office 365 (preferred).

Benefits

• Generous benefit package including:
  • Medical plans
  • Dental plans
  • Vision plans
  • Life insurance
  • Short-term and long-term disability insurance
  • PTO and Sick and Safe Time
  • Tuition reimbursement
  • Retirement plans
  • Early access to earned wages

Company Description

M Health Fairview Rehabilitation offers a broad range of services that serve patients across:

• 10 acute-care hospitals
• 3 post-acute settings
• 70 outpatient adult and pediatric therapy clinics

As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture centered on learning with an emphasis on evidence-based, patient-centered care.

Rehab’s continuing education program offers continuing education courses per year at no cost to employees.