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Senior Patient Financial Clearance Representative
VCU Health. Secure appropriate patient information and ensure registration data is correct and accurate .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient registration processes, insurance eligibility verification, and financial counseling within a healthcare setting. Proficient in utilizing EPIC systems and maintaining high accuracy in registration audits while fostering a patient-centered approach and commitment to diversity and inclusion.
Highest-signal resume keywords
Patient RegistrationInsurance Eligibility VerificationEPIC Systems ProficiencyCustomer Service SkillsMedical Billing 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
ICD CodingCPT CodingMedical TerminologyInsurance Plan AuthorizationData EntryFinancial CounselingRegistration PoliciesAudit AccuracyDemographic Data ManagementPayer Coordination
Soft Skills
Communication SkillsMentorshipCollaborationProblem-SolvingCustomer-Centered Focus
Tools & Technologies
EPIC SystemsMicrosoft OfficeEmail ApplicationsOnline Eligibility Tools
Industry Keywords
Healthcare SettingManaged CareCommercial InsuranceGovernmental Health InsuranceDiversity and Inclusion
About the role
Key responsibilities & impact- Secure appropriate patient information and ensure registration data is correct and accurate
- Validate insurance eligibility and enter information into appropriate systems
- Collect co-pays when applicable
- Assist with financial counseling and financial clearance
- Communicate with patients, clinical staff, and providers when services must be postponed due to eligibility or benefit issues
- Prioritize and coordinate patient accounts requiring demographic, payer, and visit data before appointments
- Resolve missing or incorrect critical data elements independently
- Apply additions and revisions to patients’ EPIC accounts according to registration policies and procedures
- Determine whether plan additions or revisions should apply to past and future scheduled visits
- Contact patients or guarantors by phone, portal, email, or mail to complete or update data
- Achieve an EPIC Registration Audit Program accuracy rate of 97% or greater
- Confirm health plan eligibility and benefits before scheduled outpatient visits using online tools, health plan websites, and telephone confirmation
- Contact patients or guarantors when eligibility or benefit confirmation is unsuccessful
- Cancel or reschedule appointments when additional time is needed to confirm eligibility or benefits
- Provide real-time training, troubleshooting guidance, coaching, and mentorship to new representatives
- Support development and acquisition of job-specific skills
- Collaborate on diversity, equity, and inclusion initiatives across the health system
- Perform other assigned duties and participate in special projects supporting VCUHS and the Department
Requirements
What you’ll need- High School Diploma or equivalent
- Minimum three (3) years of previous experience in a health care setting
- Experience in commercial, managed care and governmental health insurance plans
- One (1) year experience in insurance plan authorization and referral requirements; or medical billing
- Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc.
- Strong customer service skills and patient/customer-centered focus
- Commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias
- Patient Registration or other medical billing/registration systems, ICD and CPT coding, and medical terminology are preferred
- Must be located in one of the listed remote states: Alabama, Arkansas, Florida, Georgia, Kansas, Kentucky, Maryland, Michigan, Missouri, Mississippi, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia