Financial Clearance Specialist - Remote Relief

Job Description

Description

PeaceHealth is seeking a Financial Clearance Specialist - Financial Clearance for a Per Diem/Relief, Day position. Hourly compensation is $18.30 – $27.46; hiring rate dependent on qualifications, professional experience, and/or work location.

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.
• Responds to customer inquiries in accordance with state and federal laws or applicable internal policies.
  
• May receive and post patient payments

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.

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.

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

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

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.

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.