Job Summary
The Financial Clearance Specialist plays a key role in ensuring the accuracy of billing processes by validating patient insurance eligibility and addressing any discrepancies in claims. This position requires attention to detail and an understanding of medical necessity regulations, as well as compliance with HIPAA guidelines.
Responsibilities
- Verify patient insurance eligibility to facilitate timely billing.
- Identify and resolve any missing elements in claims to promote accurate submissions.
- Analyze claim errors and implement solutions to rectify issues.
- Ensure all procedures comply with HIPAA standards and medical necessity criteria.
Qualifications
- A high school diploma or equivalent is essential.
- Minimum of 2 years of experience in fields related to medical billing or financial clearance.
- Strong knowledge of insurance policies and billing practices.
- Demonstrated analytical skills for effective problem-solving.
CareDx, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
