Financial Clearance Specialist IIIVirtualVocations • Pasadena, California, United States
Financial Clearance Specialist III
VirtualVocations • Pasadena, California, United States
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A company is looking for a Financial Clearance Specialist III - Authorizations Oncology.
Key Responsibilities
Process financial clearance components including insurance validation, pre-certification, and patient cost estimates
Initiate and track referrals and authorizations, working with physician offices to obtain necessary clinical data
Assist management with denial issues and coordinate services with providers and clinics
Required Qualifications
Proficient knowledge of Medicare, Medicaid, and commercial insurances related to account receivables
Minimum 3-5 years of experience in healthcare billing and reimbursement analysis
Knowledge of medical terminology and coding, particularly in oncology
High School Diploma or equivalent
Basic working knowledge of UB04 and Explanation of Benefits (EOB)
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