Job Information
BrightSpring Health Services Financial Clearance Center Specialist in DAVIDSON, North Carolina
Our Company
BrightSpring Health Services
Overview
The Financial Clearance Center (FCC) Specialist contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information. Communicates directly with patients to inform them of their rights, review financial policies, and collects patient liabilities.
Responsibilities
Responsibilities• Verifies Eligibility and insurance benefits using electronic and telephonic resources, communicating and identified insurance plan changes to billing managers for system updates.• Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.• Fulfills notification requirements for admissions• Contacts patients to request and obtain patient liabilities, establishing patient plans as requested.• Works closely with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations.• Provides patient education concerning patient rights, regulatory requirements and financial policies.• Preparing oral/written communications including periodic status reports• Document notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification notification representatives.• Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices. This includes becoming familiar with BrightSpring health’s Code of ethics (LEGACY), attending training as required, notifying management or BrightSpring Health’s helpline when there is a compliance concern or incident, HIPAA- complaint handling of patient information, and demonstrable awareness of confidentiality obligations.
Qualifications
High School diploma or GED
1+ year of experience in a role that interfaces with commerical or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients.
Strong analytical skills to process admissions and appropriately calculate patient liability.
Demonstrated ability to navigate Internet Explorer and Miscrosoft Office.
Demonstrated experience communicating effectively with a customer and simplifying complex information.
About our Line of Business
BrightSpring Health Services provides complementary and integrated home- and community-based pharmacy and health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive care and clinical solutions in all 50 states to over 400,000 customers, clients and patients daily. For more information, visitwww.brightspringhealth.com. Follow us on Facebook (https://www.facebook.com/brightspringHS/) , Twitter (https://www.twitter.com/BrightSpringHS/) and LinkedIn (https://www.linkedin.com/company/brightspringhealth/) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-NC-DAVIDSON
ID 2025-160243
Line of Business BrightSpring Health Services
Position Type Full-Time
