Payor Clearance Specialist

Job description

Payor Clearance Specialist - ( 250002WZ ) Description Payor Clearance Specialists are members of the Patient Access team dedicated to completing patient access workflows related to navigating insurance payor regulations. Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled patient services for the inpatient, ambulatory , and physician practice settings. Payor Clearance Specialists work directly with referring physician offices, payers, and patients to ensure full payor clearance prior to the provision of care. Including, serving e as subject matter experts as it relates to payor requirements, authorizations, appeals and patient navigation. Works as a Payor Clearance Specialists use quality auditing and reporting tools to identify denial issues and trends to improve service line outcomes. Qualifications: Minimum Education High School Diploma or GED (Required) Minimum Work Experience: 3 years Healthcare experience with payor navigation, claims and billing, healthcare registration, insurance referral and authorization processes insurance authorizations, and appeals. (Required) 2 years Experien...