Financial Clearance Associate II

Overview

Experience the advantages of real career change

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.

Responsibilities

Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notify payers of admittance if required.

SHIFT: MONDAY - FRIDAY 9:30am – 6:00pm.

Qualifications

Education

• H.S. Diploma or General Education Degree (GED) Required
• Bachelor’s Degree from a recognized college or university Preferred
• Completion of medical coder training program Preferred

Work Experience

• 3 years exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle Required
• 4 years of previous related healthcare Revenue Cycle experience Preferred
• Prior Epic experience Preferred
• Clinical experience (i.e., medical assistant, surgical tech) Preferred

Licenses and Certifications

• None Required
• Certification with Healthcare Financial Management Association Preferred
• Certified Revenue Cycle Representative Preferred

Business Unit : Company Name

Piedmont Healthcare Corporate