Financial Clearance Specialist

Financial Clearance Specialist

• Miami, FL - Remote (any location)
• Full-Time
• Operations and Support

Gastro Health is seeking a Remote Full-Time Insurance Collections Specialist to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

This role offers:

• A great work/life balance
• No weekends or evenings – Monday thru Friday
• Paid holidays and paid time off
• Rapidity growing team with opportunities for advancement
• Competitive compensation
• Benefits package

Duties you will be responsible for:

• Production: Meets Quantity (100%) and Quality Required Benchmark (90% - To be evaluated through audits)
• Denial and rejection rate of less than 10% to demonstrate capability to effectively verify patient benefits and obtain required authorizations. (Effectiveness to be monitored in Visiquate and Waystar systems)
• Able to effectively manage assigned schedule to include verification of all insurance authorization requirements, benefits and patient demographics at the designated days out timeframe.

Minimum Requirements

• High School diploma/GED required. Bachelor Degree preferred, but not required.
• 1 year of related experience, or any combination of education or experience that provides the required knowledge, skills and abilities to perform the job.
• Experience in a healthcare environment or a healthcare claims environment is a strong plus.
• Knowledge of medical terminology utilized in insurance financial clearance, medical collections and billing (CPT, ICD-9, HCPCS).
• Previous Experience with OH Insurance Payers and obtaining prior authorizations.
• Able to give patient benefit information regarding surgical GI procedures
• Able to determine if an insurance policy requires an insurance referral
• Previous experience with remote work

We offer a comprehensive benefits package to our eligible employees:

• Medical
• Dental
• Vision
• Spending Accounts
• Life / AD&D
• Disability
• Accident
• Critical Illness
• Hospital Indemnity
• Legal
• Identity Theft
• Pet
• 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
• Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees

Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.