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7 часов Π½Π°Π·Π°Π΄

Inpatient Financial Clearance Representative I (Healthcare)

21 - 53$
Π€ΠΎΡ€ΠΌΠ°Ρ‚ Ρ€Π°Π±ΠΎΡ‚Ρ‹
hybrid
Π’ΠΈΠΏ Ρ€Π°Π±ΠΎΡ‚Ρ‹
fulltime
Π“Ρ€Π΅ΠΉΠ΄
junior
Английский
b2
Π‘Ρ‚Ρ€Π°Π½Π°
US
Вакансия ΠΈΠ· списка Hirify.GlobalВакансия ΠΈΠ· Hirify Global, списка ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹Ρ… tech-ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΉ
Для мэтча ΠΈ ΠΎΡ‚ΠΊΠ»ΠΈΠΊΠ° Π½ΡƒΠΆΠ΅Π½ Plus

ΠœΡΡ‚Ρ‡ & Π‘ΠΎΠΏΡ€ΠΎΠ²ΠΎΠ΄

Для мэтча с этой вакансиСй Π½ΡƒΠΆΠ΅Π½ Plus

ОписаниС вакансии

ВСкст:
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TL;DR
Inpatient Financial Clearance Representative I (Healthcare): Verifying insurance benefits, securing financial clearance, and documenting payer notifications for urgent inpatient and observation admissions with an accent on eligibility verification, coordination of benefits, and financial-risk identification. Focus on resolving denied claims, communicating at-risk cases, and coordinating level-of-care updates with payers, Case Management, and Admitting.

Location: Onsite at Lowell General Hospital, 55 Technology Drive, Lowell, Massachusetts; remote flexibility may be available at the manager's discretion after training. Schedule: Monday through Friday, 8:30 AM–5:00 PM EST.

Salary: $21.53–$26.91 per hour for full-time employment.

Company

hirify.global provides healthcare services through its hospital and clinical operations.

What you will do

  • Verify insurance coverage, eligibility, benefits, and coordination of benefits for urgent inpatient and observation admissions.
  • Submit timely payer notifications by phone, fax, or payer portals, including Medicaid birth notifications when applicable.
  • Enter and maintain financial, insurance, eligibility, notification, and documentation data in hospital systems.
  • Identify non-covered services and financial-risk concerns, escalating them to Financial Counseling and department leadership.
  • Monitor work queues, denied claims, and at-risk accounts; support timely resolution and appeals.
  • Coordinate with Case Management, Admitting, clinical teams, supervisors, and managers regarding level-of-care changes and account status.

Requirements

  • High school diploma or equivalent.
  • At least two years of experience in a hospital, physician, or financial setting.
  • Working knowledge of computer systems and basic Excel and reporting skills.
  • Strong verbal and written communication, patient-service focus, organization, prioritization, and decision-making skills.
  • Ability to work independently and collaboratively while adapting to changing workflows and priorities.
  • Ability to work onsite in Lowell, Massachusetts during the specified EST schedule.

Nice to have

  • Three years of experience in a hospital, physician, or financial setting.

Culture & Benefits

  • Collaborative working relationships across hospital departments and clinical teams.
  • Training and shadowing support for new team members.
  • Comprehensive total rewards supporting health, financial security, and career growth.
  • Work involves frequent sitting, occasional standing and walking, and lifting 5–10 pounds.

Π‘ΡƒΠ΄ΡŒΡ‚Π΅ остороТны: Ссли Ρ€Π°Π±ΠΎΡ‚ΠΎΠ΄Π°Ρ‚Π΅Π»ΡŒ просит Π²ΠΎΠΉΡ‚ΠΈ Π² ΠΈΡ… систСму, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡ iCloud/Google, ΠΏΡ€ΠΈΡΠ»Π°Ρ‚ΡŒ ΠΊΠΎΠ΄/ΠΏΠ°Ρ€ΠΎΠ»ΡŒ, Π·Π°ΠΏΡƒΡΡ‚ΠΈΡ‚ΡŒ ΠΊΠΎΠ΄/ПО, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡ‚Π΅ этого - это мошСнники. ΠžΠ±ΡΠ·Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ ΠΆΠΌΠΈΡ‚Π΅ "ΠŸΠΎΠΆΠ°Π»ΠΎΠ²Π°Ρ‚ΡŒΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡˆΠΈΡ‚Π΅ Π² ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΡƒ. ΠŸΠΎΠ΄Ρ€ΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β†’