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Eye Health America

Making Lives Better With Personalized Eyecare

Revenue Cycle Specialist – Pre-Encounter Financial Clearance

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteMid LevelTeam 1,001-5,000Since 2018H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

3 days ago

Salary

Not specified

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

• Verify patient insurance eligibility and benefits prior to scheduled visits and procedures • Complete all required financial clearance activities within established timelines • Obtain referrals and prior authorizations from external physician practices and insurance companies • Prepare accurate and compliant Good Faith Estimates (GFEs) for services and supplies • Research and interpret payer-specific policies, coverage determinations, and medical necessity guidelines • Collaborate with internal revenue cycle teams, scheduling staff, clinical teams, and ambulatory surgery center leadership

Job Requirements

  • High School diploma
  • 2–4 years of revenue cycle management or medical financial clearance experience
  • Working knowledge of CPT, HCPCS, and ICD-10
  • Experience with commercial, Medicare, and Medicaid payers and authorization processes
  • Demonstrated ability to research and apply payer policies

Benefits

  • Health insurance
  • Paid time off
  • Professional development

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