Financial Clearance Specialist (Radiation Oncology)

About the role

Join Garnet Health, the Hudson Valley’s leading integrated health system, as a Financial Clearance Specialist at Garnet Health Medical Center. This role offers the perfect balance of a satisfying career and a rewarding lifestyle, focusing on patient-centric care within a growing, award-winning health system that serves a diverse community.

Responsibilities

• Complete insurance verification at both the eligibility and benefit level.
• Assess, review, and determine insurance coverage and requirements for visits and diagnostic testing.
• Serve as the bridge between clinical and revenue cycle business areas by obtaining all required referrals and authorizations prior to visits or testing.
• Ensure timely payment for services rendered, reducing financial risk to the organization.
• Work closely with departmental leaders and staff to obtain all clinical data required for authorization, both pre- and post-op procedures.
• Contact patients/caregivers to confirm insurance coverage or advise of any financial obligations, adhering to NSA guidelines.
• Contribute to the financial stability of the program.

Requirements

• Minimum Education: High School Diploma (Associate degree preferred).
• Minimum Experience: 2 years of healthcare revenue cycle insurance experience (insurance verification preferred).
• Knowledge of ICD-10 codes.

Skills

• Ability to foster collaborative relationships and work well under pressure.
• Strong organizational and synthesizing skills for new information.
• Critical thinking, analytical skills, and flexibility.
• Ability to multi-task and prioritize in an environment with uncontrolled interruptions.
• Detailed attention to work and sensitivity to customer needs and expectations.
• Proficiency in operating computers and office equipment.

Physical Requirements

• Works in a clean, well-lighted, heated, or ventilated facility with no routine exposure to hazards.
• Full anatomical range of motion to accomplish tasks.
• Visual and aural acuity, along with finger and hand dexterity.
• Ability to withstand long periods of sitting, standing, and constant walking.
• Ability to lift up to 10 lbs.
• May be subject to irregular hours, including evenings or weekends, to participate in operational and community events.

Benefits

• Comprehensive health, dental, and retirement benefits tailored to individual and family needs.
• Tuition reimbursement programs for continued education.
• Resources to support career growth and professional potential.
• Inclusive and diverse team culture that values exceptional talents, skills, and perspectives.

Pay

The compensation range for this role is $25.18 - $25.93 hourly. Several factors may be considered when determining compensation, including location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity.

Schedule

This is an on-site position. Hours may include evenings or weekends as necessary to meet operational and community event needs.