Andrea Preston

Ensure that insurance payers are prepared to reimburse our Corporate business services in accordance with the payer provider contract

When physicians and clinicians make care decisions, the financial clearance specialist is aware of how a patients benefits fit into the care plan, and keeps the patients and physicians informed of such as they seek to obtain authorizations from payers

responsible for the financial clearance of transplant, surgical, chemotherapy and radiation therapy patients including insurance verification, price estimation and validation of medical necessity patients for certain services

need to understand third party payer regulations and guidelines for these particular service lines including a working knowledge of medical necessity requirements for pharmaceutical and recurring services that these patients often require

determines benefit and coverage levels and connects patients with financial assistance resources as needed

• Managed patient clearance processes to ensure compliance with health regulations.