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Sr Financial Clearance Specialist - Mt Auburn Hospital

Beth Israel Lahey Health · Cambridge, Massachusetts, US

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The position will support Hem/onc Prior Auth...

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The position will support Hem/onc Prior Authorization work flows for the Infusion Clinic. The hours are M-F, 8-4:30. Contribute to Beth Israel Lahey Health’s (BILH) mission by ensuring that all information necessary for proper financial reimbursement for high-dollar patient care is analyzed and submitted to insurance companies for approval prior to the patient’s date of service. Collaborate with insurance companies when necessary to proactively validate benefits, eligibility, and referral requirements. Communicate with patients to ensure they understand their payment obligations and steps necessary to meet these obligations while maintaining a positive patient experience. Job Description: Essential Duties & Responsibilities including but not limited to: - Accesses work queues and reports and reviews patient accounts to determine the financial clearance status of specific patient services. Takes action on those services without financial clearance. - Ensures demographic and patient contact information is complete and verified with the patient or patient representative. -...