Senior Financial Clearance Representative - Admitting - Full Time 8 Hour Variable Shift (Non Union)

About the role

The Senior Financial Clearance Representative (VHH) provides daily leadership support, including monitoring work quality, assisting with workflow questions, and assisting management with department schedule and coverage as needed in assigned area(s). This position verifies insurance coverage, obtains required authorizations, determines patient financial responsibility. Possess comprehensive knowledge of EMTALA regulations, Emergency Room (ER) registration workflows, and Hospital Presumptive Eligibility programs. This role requires close collaboration with ER staff to facilitate timely and accurate financial clearance for patients admitted through the emergency department, ensuring compliance with regulatory guidelines, and supporting optimal patient care delivery.

Responsibilities

• Maintain high standards of work quality and assist with workflow questions.
• Assist management with department schedule and coverage as needed.
• Verify insurance coverage and obtain required authorizations.
• Determine patient financial responsibility.
• Collaborate with ER staff to ensure timely and accurate financial clearance.
• Ensure compliance with regulatory guidelines and support optimal patient care delivery.

Requirements

• Minimum Education: High School or equivalent
• Minimum Experience: 5 years Combined knowledge in Insurance Verification, Authorization submission and Financial Counseling experience.
• Minimum Skills: Thorough knowledge in patient accounts, admission and insurances verification; Demonstrates leadership; Knowledgeable in Managed Care Payors, Medicare, MediCal and Letters of Agreement; Excellent communication skills, including the ability to speak, read and write English proficiently; Knowledge of EMTALA and hospital billing and collection process; Knowledge of third-party payer relationships as well as relevant state and federal health programs; Ability to multi-task with excellent organization skills required.

Qualifications

• AB508 (Management of Assaultive Behavior) Must be obtained within 30 days of hire.

Skills

• Thorough knowledge in patient accounts, admission and insurances verification.
• Demonstrates leadership.
• Knowledgeable in Managed Care Payors, Medicare, MediCal and Letters of Agreement.
• Excellent communication skills, including the ability to speak, read and write English proficiently.
• Knowledge of EMTALA and hospital billing and collection process.
• Knowledge of third-party payer relationships as well as relevant state and federal health programs.
• Ability to multi-task with excellent organization skills required.

Benefits

No specific benefits are listed in the job posting.

Pay

The hourly rate range for this position is $25.00 - $39.69.

Schedule

The position offers 8 hour variable shifts.