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| Employer | BrightSpring Health Services |
| Location | JACKSON, MS USA |
| Posted | May 31, 2025 |
Job Details
Financial Clearance Specialist
Our Company
Rehab in Motion
Overview
The Financial Clearance Center (FCC) Specialist contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits.
Responsibilities
+ Verifies eligibility and insurance benefits including but not limited to: Confirming the status of used/remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
+ Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
+ Fulfills notification requirements.
+ Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
+ Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
+ Prepares oral/written communications including periodic status updates.
+ Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
+ 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.
+ Completes all required training, maintains active working knowledge of BrightSpring health's Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
+ Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience.
Qualifications
+ HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college.
+ 2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients
+ Medical billing certificate/ medical insurance specialty certificate preferred
+ Strong analytical skills to process admissions and accurately and timely
+ Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel
+ Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form
+ Ability and willingness to work cohesively in a team environment locally and across other departments and locations
+ Demonstrate patience with a strong attention to detail
+ Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients.
+ Minimal travel, rarely or as needed
About our Line of Business
Rehab in Motion, an affiliate of Rehab Without Walls, is devoted to elevating the physical and emotional wellbeing of older adults through physical, occupational and speech therapies. Our team's holistic approach integrates mindfulness-based interventions to address trauma, fostering increased independence, strength, and fall prevention. At Rehab in Motion, our tailored physical therapy and fun-filled exercise classes embrace the unique culture of every retirement or assisted living community we serve, because staying active and independent should be as enjoyable as it is beneficial. Our team excels in trauma-informed care, fostering a nurturing and empathetic environment for all clients. This approach ensures that each individual receives comprehensive care, incorporating support, evidence- based interventions, and an overall improved quality of life, leading to more favorable outcomes. For more information, please visitwww.rehabwithoutwalls.com/rehab-in-motion. Follow us onFacebook (https://www.facebook.com/rehabinmotionseniors) andLinkedIn (https://www.linkedin.com/company/rehabinmotionseniors) .
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-MS-JACKSON
ID 2025-167906
Line of Business Rehab in Motion
Position Type Full-Time
Rehab in Motion
Overview
The Financial Clearance Center (FCC) Specialist contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits.
Responsibilities
+ Verifies eligibility and insurance benefits including but not limited to: Confirming the status of used/remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
+ Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
+ Fulfills notification requirements.
+ Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
+ Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
+ Prepares oral/written communications including periodic status updates.
+ Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
+ 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.
+ Completes all required training, maintains active working knowledge of BrightSpring health's Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
+ Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience.
Qualifications
+ HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college.
+ 2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients
+ Medical billing certificate/ medical insurance specialty certificate preferred
+ Strong analytical skills to process admissions and accurately and timely
+ Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel
+ Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form
+ Ability and willingness to work cohesively in a team environment locally and across other departments and locations
+ Demonstrate patience with a strong attention to detail
+ Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients.
+ Minimal travel, rarely or as needed
About our Line of Business
Rehab in Motion, an affiliate of Rehab Without Walls, is devoted to elevating the physical and emotional wellbeing of older adults through physical, occupational and speech therapies. Our team's holistic approach integrates mindfulness-based interventions to address trauma, fostering increased independence, strength, and fall prevention. At Rehab in Motion, our tailored physical therapy and fun-filled exercise classes embrace the unique culture of every retirement or assisted living community we serve, because staying active and independent should be as enjoyable as it is beneficial. Our team excels in trauma-informed care, fostering a nurturing and empathetic environment for all clients. This approach ensures that each individual receives comprehensive care, incorporating support, evidence- based interventions, and an overall improved quality of life, leading to more favorable outcomes. For more information, please visitwww.rehabwithoutwalls.com/rehab-in-motion. Follow us onFacebook (https://www.facebook.com/rehabinmotionseniors) andLinkedIn (https://www.linkedin.com/company/rehabinmotionseniors) .
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-MS-JACKSON
ID 2025-167906
Line of Business Rehab in Motion
Position Type Full-Time
Job #NLX277062210