/>
Join our Talent Network
Skip to main content

Financial Clearance Specialist Lead

This job posting is no longer active.

Job ID: 17897
Location: Vancouver, WA
Work Type: Full Time
Shift: Day
Shift Length: 8 Hours
FTE: 1.00
Benefit Eligibility: Full-time benefits

Job Description

Description

PeaceHealth is seeking a Financial Clearance Specialist Lead - Financial Clearance for a Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $19.37, more depending on experience.

This position can 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 or Alaska

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

Responsible for coordinating the day-to-day functions for assigned area. Assists with ensuring that departmental goals are achieved, timelines met and service excellence provided in all aspects of work. Subject matter expert. 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

  • Assigns work, plans and manages priorities, provides technical assistance, oversees staff schedules, monitors quality of work, monitors team projects, mentors staff, provides constructive feedback, oversees staff training, ensures quality improvement, provides leadership feedback on staff performance, and assists with goal setting for the team.
  • 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
  • Performs other duties as assigned.
  • Assists with departmental coverage as needed.
  • Ensures proper billing procedures and privacy guidelines are implemented and carried out.

QUALIFICATIONS

EDUCATION:

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

EXPERIENCE/TRAINING:

  • Minimum of three years experience in patient registration, insurance eligibility verification, prior authorizations, collections, customer service, billing or related medical field required.
  • Familiarity with government, commercial and third-party billing.
  • Experience with Epic registration system preferred.
  • Experience with Medicaid and Medicaid HMOs. 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

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.  

Share: mail