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 all hospital related services.
• Collects point of service fees and ensures accurate information is provided to third party payers or guarantors.
• Minimizes errors that could lead to penalties or delays in payment to the hospital.
• Completes cash reconciliation and submission activities in accordance with department/hospital policies and procedures.
• Performs audit functions, including data retrieval and 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 overall operations and workflow of the hospital and Medical Staff.
• Utilizes excellent problem-solving and conflict management skills to make decisions and judgments that impact the 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.

Qualifications

• High school diploma or GED.
• Two-year college degree or equivalent experience preferred, not required.
• Professional Certification through AAHAM, NAHAM or HFMA preferred, not required.

Skills

• Excellent problem solving and conflict management skills.
• Ability to set and organize own work priorities and adapt to changing work priorities.
• Ability to work concurrently on a variety of tasks/projects in a stressful environment.

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).
• Flexible schedules.
• Free onsite parking.

Pay

Pay Range: $19.58 - $28.41 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Schedule

Position is part-time, working evening shifts.

Benefits Eligibility

• Full-time/part-time benefit eligible roles available.

Referral Rewards Program

Available to current employees.

Holy Cross Health

A Catholic, not-for-profit health system serving Montgomery and Prince George's counties in Maryland. Founded in 1963 by the Sisters of the Holy Cross, Holy Cross Health is a member of Trinity Health of Livonia, Michigan. The network includes specialty care, home care, hospice services, and community-based health and wellness programs.

EEO Statement

Qualified applicants are considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.