Specialist II, Financial Clearance

Description

This position is responsible for the financial clearance, registration, and collection of point of service fees for all hospital related services. Ensures that information is accurately presented to third party payers or guarantors and minimizes errors that would result in penalties or other delays in payment to the hospital. Ensures cash reconciliation and submission activities are completed according to department/hospital policies and procedures.

Responsibilities

• Performs registrations, insurance verification, and billing for hospital related services.
• Collects point of service fees and ensures accurate information is provided to third party payers or guarantors.
• Maintains compliance with department/hospital policies and procedures regarding financial clearance and registration.
• Ensures timely and accurate cash reconciliation and submission activities.
• Conducts audit functions, including data retrieval, review, error identification and correction, documentation, and display of data in a concise, understandable format.
• Identifies trends and recommends process/system improvements.
• Manages multiple workplace demands and sets realistic priorities related to the operations and workflow of the hospital and Medical Staff.
• Solves problems and manages conflicts in a professional manner, impacting the overall operations and workflow of the hospital and Medical Staff.

Requirements

• Minimum of two years' experience performing registrations, insurance verification, and billing in a hospital and/or other health care settings.
• Insurance verification experience preferred.
• Firm understanding of medical terminology, ICD-10 and COT coding.
• Proficiency in computer and data entry skills.
• Proficiency in Microsoft Office products such as Excel, Word, PowerPoint, and Visio.
• Two-year college degree or equivalent experience preferred, not required.
• Professional Certification through AAHAM, NAHAM or HFMA preferred, not required.

Qualifications

• High school diploma or GED.
• Proficiency in computer and data entry skills.
• Proficiency in Microsoft Office products such as Excel, Word, PowerPoint, and Visio.
• Two-year college degree or equivalent experience preferred, not required.
• Professional Certification through AAHAM, NAHAM or HFMA preferred, not required.

Skills

• Strong communication and interpersonal skills.
• Excellent problem-solving and conflict management skills.
• Ability to prioritize and manage multiple tasks simultaneously.
• Knowledge of relevant federal, state, and local laws and regulations.
• Understanding of medical terminology, ICD-10 and COT coding.

Benefits

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance, and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others).
• Work/Life balance with flexible schedules.
• Free onsite parking.

Pay and Schedule

• Pay Range: $19.58 - $28.41 per hour.
• Position available as 0.5 FTE (20 hours weekly) up to 1.0 FTE (40 hours weekly).

Benefits

• Comprehensive benefit packages, including medical, dental, vision, mental health, paid time off, 403B, education assistance, and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others).
• Work/Life balance with flexible schedules.
• Free onsite parking.

Referral Rewards Program

• Eligible for referral rewards program.

About the Company

Holy Cross Health is a Catholic, not-for-profit health system serving the two most populous counties in Maryland, Montgomery and Prince George’s. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital, in Silver Spring, is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus, enhanced by an educational partnership. The Holy Cross Health Network operates primary-care practices and affordable health centers, and offers a wide range of innovative, community-based health and wellness programs. Specialty care, home care, and hospice services round out Holy Cross Health’s high-quality and coordinated continuum of care that aims to improve health and let you live life on your own terms.