Financial Clearance Specialist - Remote

Major Responsibilities

• Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and perform collections with outstanding accounts receivable.
• Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc.) via obtaining accurate demographic and financial information.
• Answers patient inquiries regarding their liability and explains the variables involved.
• Receives and processes patient payments.
• Ensures pre-certification authorization and/or referral is in place prior to service being rendered.
• Appropriately refers patients to Financial Counselors or Business Office depending on the patient's need.
• Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances require postponement.
• Enters clear, concise notes concerning financial clearance status in system based on communications.
• Demonstrate knowledge and understanding of all job-related policies and procedures and adhere to and consistently apply the Financial Clearance Policy in all patient cases.
• Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service.
• Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.

Position Qualifications

• Minimum High School Diploma, or G.E.D., business concentration preferred.
• Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
• Prior experience in a healthcare environment required.
• Working knowledge of personal computers and business office applications preferred.
• Familiarity with hospital computer systems is a plus.
• Knowledge of third party collections and reimbursement preferred.

Physical Demands And Environmental Conditions

• Stand - 1/3
• Walk - 1/3
• Sit - 2/3
• Talk or hear - 2/3
• Uses hands to finger, handle or feel - 2/3
• This job requires that weight be lifted, or force be exerted: Up to 10 pounds - 1/3

This position is non-exempt and the hiring range is $20.94 - $29.27 per hour. The final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. The schedule is Monday through Friday, Scheduled Hours: 8:00am - 4:30pm, Shift: 1 - Day Shift, 8 Hours (United States of America), Hours: 40. The cost center is 99940 - 5478 Financial Clearance, Union: SHARE (State Healthcare and Research Employees).