Financial Clearance Specialist

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

This role offers:

A great work/life balance
No weekends or evenings – Monday thru Friday
Paid holidays and paid time off
Rapidity growing team with opportunities for advancement
Competitive compensation
Benefits package

Duties you will be responsible for:

Production: Meets Quantity (100%) and Quality Required Benchmark (90% - To be evaluated through audits)
Denial and rejection rate of less than 10% to demonstrate capability to effectively verify patient benefits and obtain required authorizations. (Effectiveness to be monitored in Visiquate and Waystar systems)
Able to effectively manage assigned schedule to include verification of all insurance authorization requirements, benefits and patient demographics at the designated days out timeframe.

Minimum Requirements

High School diploma/GED required. Bachelor Degree preferred, but not required.
1 year of related experience, or any combination of education or experience that provides the required knowledge, skills and abilities to perform the job.
Experience in a healthcare environment or a healthcare claims environment is a strong plus.
Knowledge of medical terminology utilized in insurance financial clearance, medical collections and billing (CPT, ICD-9, HCPCS).
Previous Experience with OH Insurance Payers and obtaining prior authorizations.

Able to give patient benefit information regarding surgical GI procedures

Able to determine if an insurance policy requires an insurance referral
Previous experience with remote work
We offer a comprehensive benefits package to our eligible employees:

Medical
Dental
Vision
Spending Accounts
Life / AD&D
Disability
Accident
Critical Illness
Hospital Indemnity
Legal
Identity Theft
Pet
401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees