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Patient Financial Clearance Representative

Role overview

Qualifications

  • High customer service skills
  • Experience in financial record management
  • Knowledge of insurance pre-certification processes

Responsibilities

  • Ensure accuracy of financial records prior to patient arrival
  • Liaise between Ordering Offices and Mosaic Life Care for patient information
  • Pre-certify insurance for scheduled procedures
  • Expedite reimbursement and avoid authorization penalties

Key facts

Hard skills

Other skills

  • Customer Service
  • Communication
  • Social Skills
  • Detail Oriented

About the company

Mosaic Life Care logo

Mosaic Life Care

Hospitals & Health Care

Mosaic Life Care is health care, re-imagined. We are dedicated to not only treating you when you are sick, but also to keeping you healthy. That’s life care. At Mosaic Life Care, we are committed to providing the best and safest care, while creating a warm, inviting environment for our patients, family members and caregivers. We’ve developed an innovative life-care model that includes traditional health care, as well as a focus on other aspects of our patients’ lifestyles that affect their overall wellness. Mosaic Life Care, a recipient of the 2009 Malcolm Baldrige National Quality Award and named one of the nation’s top performers on key quality measures by The Joint Commission in 2010, is the next generation of health care. As a member of the Mayo Clinic Care Network, our physicians have the opportunity to seek Mayo Clinic expertise through eConsults. By working together, we hope to build new and innovative ways to provide the best possible care. Mayo Clinic and Mosaic Life Care share a common philosophy, commitment and mission to improve the delivery of care.

Company details

Company typeSME
IndustryHospitals & Health Care
Company size1001 - 5000

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Job description

The Patient Financial Clearance Representative works under the direction of the Manager responsible for ensuring all financial record are accurate and in place prior to the patient's arrival. The Patient Financial Clearance Representative possesses the highest customer services skills as the first touch in the patient experience chain. The Patient Financial Clearance Representative 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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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