Financial Clearance Specialist

Financial Clearance Specialist
Company:

(Confidential)


Place:

Washington


Financial Clearance Specialist

Details of the offer

PeaceHealth is seeking a Financial Clearance Specialist for a
1.0 full time equivalent
Non:Exempt position. This position will be working
Day shift with shift durations of
8 Hours.

Req ID:

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
:
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 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.

LICENSE/CERTIFICATION:

:
N/A

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).

For full consideration of your skills and abilities, please attach a current resume with your application.

About Us

PeaceHealth, based in Vancouver, WA, is a not:for:profit Catholic health system employing approximately 16,000 caregivers, a multi:specialty medical group practice with more than 1,200providers and 10medical centers serving both urban and rural communities in Washington, Oregon, Alaska. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.

Get a feeling for the Spirit of PeaceHealth through thisthree:minute video, and visit us onFacebookorLinkedIn We offer co


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Area:

  • Auditor - Accounting - Finances / Tax Accountant

Requirements

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