Job Description
A healthcare organization in the Los Angeles area is seeking a Financial Clearance Representatives to support their growing team. This position will be a part of the Authorizations Team, responsible for obtaining service authorizations for patients seen at clinics across multiple states and cities (4 clinics in Arizona, 2 Clinics in Chicago, and 1 clinic in Atlanta). The current team size is 9 members. They will be submitting authorizations and verifying insurance for specifically for chemotherapy and episode based medications. They will be working with all types of insurance plans: HMOs, PPOs, Medi-Cal, Medicare, etc. across the given states. Must have Epic experience. This person will need to quickly become familiar with the different plan types for the different locations. Daily responsibilities include:
-Manage work queues related to Episode-Based Chemotherapy (infusion/injectable) treatments (Patient Queue – Insurance verification and registration updates &
Referral Queue– Authorization and order submissions)
-Verify insurance eligibility for all scheduled patients on a monthly basis.
- Look up registration errors, update insurance/registration errors and details, and complete data entry tasks.
- Work through queues by appointment date or expected future date, ensuring all tasks are completed thoroughly before moving to the next patient.
This is anticipated to be a contract to hire role. Candidate must be extremely reliable with great communication.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
Must be based on the West Coast
Recent experience with Epic EMR
Strong background in submitting and reviewing chemotherapy and episode-based medication authorizations, including treatment plan and clinical documentation review
Experience in insurance and benefit verification
Experience working with major insurance plan web portals
Proficiency in Microsoft Teams, Outlook, Excel, and Adobe Acrobat Pro
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.