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Patient Financial Clearance Representative
Mosaic Life Care. Make outbound pre-service calls to patients with upcoming Mosaic Life Care services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong communication skills and customer service abilities while effectively managing patient interactions and financial inquiries. Proficient in analyzing patient needs and verifying insurance eligibility to ensure accurate billing and support for financial assistance programs.
Highest-signal resume keywords
Excellent Oral And Written Communication SkillsCustomer Service SkillsInsurance Eligibility VerificationData Analysis And InterpretationPre-Access Services Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisInsurance VerificationMedical Terminology ComprehensionBilling AccuracyFinancial Assistance EvaluationPatient Registration ManagementProblem ResolutionCall ManagementMulti-TaskingEmergency Situation Assessment
Soft Skills
Professional CommunicationOrganizational SkillsSelf-StarterRapport BuildingAdaptability
Tools & Technologies
Patient Accounting SystemSpreadsheet SoftwareWord Processing SoftwareTelephonesFax MachinesCopiersInternet Usage
Industry Keywords
Pre-Service CallsOut-Of-Pocket ExpensesMosaic Life CareLoan Financing ProgramCaregiver Relationship ManagementCall Length StandardsProductivity Standards
About the role
Key responsibilities & impact- Make outbound pre-service calls to patients with upcoming Mosaic Life Care services
- Maintain professional, courteous communication with patients
- Review estimated out-of-pocket amounts and request payment before service
- Communicate previous balances and Mosaic Life Care’s financial assistance policy
- Evaluate patient need based on the PARO score
- Discuss out-of-network and non-covered services and potential out-of-pocket expenses
- Confirm insurance eligibility for the date of service and research alternative coverage when needed
- Evaluate eligibility for Mosaic’s loan financing program when patients cannot pay estimated out-of-pocket costs
- Confirm and update patient registration and demographic information
- Verify health insurance information for billing accuracy
- De-escalate complaints about current or past-due balances
- Research the Patient Accounting system to answer questions about registration, charging, and billing
- Meet department standards for call length and speed to answer while helping prevent abandoned calls
- Travel to off-site locations as required
- Perform other duties as assigned
Requirements
What you’ll need- Communicates clearly and concisely; good hand eye coordination
- Excellent oral and written communication skills
- Maintains good rapport and professional relationship with caregivers
- Excellent customer service skills
- Ability to operate computers, telephones, fax machines, and copiers continuously/repetitively
- Ability to sit, walk, and stand
- Ability to analyze and interpret data
- Excellent short-term and long-term memory
- Ability to perform multiple tasks and follow system policies and procedures
- Ability to visually assess paper and electronic data, hear telephone conversations, and converse
- Demonstrated self-starter
- Excellent organizational skills
- Ability to quickly assess and respond appropriately to emergency situations
- Ability to comprehend medical terms
- Analytical skills to resolve complex problems using scientific, mathematical, or technical principles
- Knowledge and experience with information systems and Internet usage
- Experience with spreadsheet and word processing software
- Ability to work independently and manage workload to meet productivity standards
- Ability to work a varied schedule including weekend and evening coverage
- 1 year of experience with pre-access services policies required
- Travel to off-site locations may be required
- High school diploma and associate degree listed as preferred, not required
Benefits
Comp & perks- Concierge services
- Employee lounge
- Wellness programs
- Free covered parking
- Free on-site and virtual health clinics
- Compensation and recognition