Fairview Health Services  Financial Clearance Rep in Twin Cities, Minnesota

JobTitle Financial Clearance Rep

Specialty Support Services (Non-Clinical)

Location Fairview offices at 400 Stinson

Department Financial Securing Center

Hours per 2 weeks 80

Shift Day

Date Posted 05/29/2018

Job Number 18-73166

Job Description:

The Financial Clearance Representative (FCR) position is responsible for completing the highest level of research necessary to financially clear patients impending visits within Patient Access. It requires critical thinking, research abilities and the ability to work with multiple insurance payors to secure benefits, which increases the likelihood of reimbursement for Fairview at the highest benefit level. FCR will screen payors medical policies to determine if the scheduled procedure meets medical necessity guidelines, submit and manage referral and authorization requests/requirements when necessary, and/or ensure that pre-certification and admission notification requirements are met per payors guidelines. The FCR may make decisions on when and how to work with medical staff, nursing, ancillary departments, insurance payors and other external sources to assist families in obtaining healthcare and financial services. The FCR may be responsible for insurance verification as well as benefit levels and be able to effectively articulate payors information in a manner such that patients, guarantors and family members gain a clear understanding of their financial responsibilities.

Job Qualifications:


Minimum 4 years experience working in revenue cycle, insurance verification/eligibility,

financial securing or related areas. Experience with practice management software,

hospital billing software or electronic health record software


Experience with Epic

About Fairview Health Services

Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 11 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/Disabled

All qualified applicants will receive consideration without regard to any lawfully protected status.