As a Financial Clearance Representative at TriHealth , you play a vital role in helping patients navigate the financial side of their healthcare journey with confidence and compassion. You'll work directly with patients, insurance providers, and clinical teams to secure authorizations, verify benefits, and ensure a seamless experience before care is delivered. At TriHealth, you'll be part of a collaborative, patient-centered organization that values your expertise, supports your professional growth, and empowers you to make a meaningful impact every day. Join a team that combines purpose-driven work, exceptional benefits, and a commitment to improving the health of the communities we serve.

Location:

Work from home, training in person

• must reside in

OH, KY, or IN Schedule:

Full time day shift

Incentives & Benefits:

We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

• PRN positions not eligible for TriHealth benefits https://careers.

trihealth.com/what-we-offer/benefits

Minimum Job Requirements:

High School Degree Medical terminology course or equivalent knowledge Knowledge of Medical terminology Insurance vocabulary and Processes Government and Non-government third party benefits and coverage rules Understanding of the impact financial clearance services has on revenue cycle operations and financial performance 1-2 years experience Customer Service Healthcare Dedication to treating both internal and external constituents as clients and customers Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality Background in managed care or patient billing 1-2 years experience Technical Healthcare Must have one year experience in insurance verification or precertification experience Experience with automated patient account system or online verification systems

Job Overview:

This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and/or notification as required by third party coverage providers. Purpose of this job is to verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered. Additionally, this position requires the ability to discuss complex medical terms and prior treatment with physician office staff.

Job Responsibilities:

Working Conditions:

Climbing

• Rarely Concentrating
• Consistently Continous Learning

• Frequently Hearing:

  Conversation

• Consistently Hearing:

  Other Sounds
• Rarely Interpersonal Communication
• Consistently Kneeling
• Rarely Lifting