Financial Clearance Specialist (Remote)

Job Description

Description

PeaceHealth is seeking a Financial Clearance Specialist - Financial Clearance for a Per Diem/Relief, 0.00 FTE, Day position.  Hourly compensation starts at $17.61, more depending on experience.

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.

JOB SUMMARY

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.

ESSENTIAL FUNCTIONS

• 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.
• Ensures proper billing procedures and privacy guidelines are implemented and carried out.
• Performs other duties as assigned
  

QUALIFICATIONS

EDUCATION:

• College coursework in accounting, business, medical terminology, communication and social work preferred.

EXPERIENCE/TRAINING:

• 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.

OTHER SKILLS:

• Proficient use of computers including MS Office applications
• Proficiency with 10-key calculators
• Working knowledge of standard office equipment
• Strong communication skills, both verbal and written
• Ability to work both independently and interdependently with staff and team members with limited supervision
• Excellent problem solving and critical thinking skills

SHARED SERVICES PHYSICAL/COGNITIVE REQUIREMENTS:

• Work requires fairly light physical exertion from up to 65% of the time.
• Ability to lift objects weighing 30 lbs. or less.
• Work is performed under normal working conditions with adequate lighting and ventilation.
• Job duties frequently require intense concentration and attention to detail (up to 65% of work time).

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.