Summary
This position possesses the highest customer services skills as the first touch in the patient experience chain. This position sets the tone for what is the first and can be the lasting impression of the patient’s perception of Mosaic Life Care.
Works as a liaison between Ordering Offices and Mosaic Life Care for obtaining patient information and prior authorization detail for scheduled services.
Pre-certifies insurance for scheduled procedures and / or tests to expedite reimbursement and avoid authorization penalties.
This position works under the direction of the Manager responsible for ensuring all financial record are accurate and in place prior to the patient’s arrival.
Duties
- Makes outbound calls pre-service to for patients that have upcoming services scheduled with Mosaic Lifecare. Maintains a professional and courteous tone of voice and communication clearly with the patient.
- Reviews patients estimated out of pocket amount due for services for both Clinic and Medical Center services and requests payment over the phone prior to service.
Also communicates any previous balance due from the patient on past balances.
- Communicates the Mosaic Lifecare Financial Assistance Policy and based on need determined by the PARO score and evaluates the patients need.
- Discusses any out of network and non-covered services with the patient to ensure the patient is prepared for any out of pocket expenses prior to service.
- Reviews and confirms patients insurance is eligible for the date of service. Research any patient that is not eligible to identify other coverage.
Qualifications
- High School Diploma or Associates Degree preferred
- 1-2 years’ experience with pre-access services policies
Patient Financial Clearance Representative
This position works under the direction of the Manager responsible for ensuring all financial record are accurate and in place prior to the patient’s arrival. Communicates the Mosaic Lifecare Financial Assistance Policy and based on need determined by the PARO score and evaluates the patients need. ...
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