Financial Clearance Specialist - REMOTE

Job Description

Description

PeaceHealth is seeking a Financial Clearance Specialist - Financial Clearance for a Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $17.61, more depending on experience.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

Must reside in Washington, Oregon, Texas or Alaska

Coordinates components of financial clearance. Includes pre-registration, insurance verification, prior authorization/notification requirements, and patient financial information. Informs the patient/guarantor of all financial liabilities and documenting pertinent information into appropriate systems. Communicates with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience. Implements the Corporate Financial Counseling policy to ensure fair, thorough and consistent application of account resolution practices to promote corporate financial health.

Details of the position:

• Verifies patient insurance benefits and checks for prior authorization and/or provide notification of admittance.
• Pre-registers patients for scheduled services.
• Manages daily assignments using standardized protocols and works queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
• Maintains daily account follow-up as targeted by management.
• Responds to customer inquiries in accordance with state and federal laws or applicable internal policies.
• May receive and post patient payments
• Assists with departmental coverage as needed.

What I bring:

• College coursework in accounting, business, medical terminology, communication and social work preferred.
• Minimum of 1 year experience in patient registration, insurance eligibility verification, prior authorizations, collections, customer service, billing or related medical field.
• Familiarity with government, commercial and third-party billing preferred.
• Experience with Epic registration system preferred.
• Experience with Medicaid and Medicaid HMOs is preferred. Should have a working knowledge of CMS and other government programs. Demonstrates an understanding of managed care contracts and payer operations.

For a full description of the position, or for questions, please email [email protected]

Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application.  EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.