Remote - Financial Clearance Coordinator

Mosaic Life Care•Saint Joseph, MO

1d•Remote

About The Position

Under the direction of the Patient Access Services and Special Project Director, the Financial Clearance Coordinator assists patients with inquiries about pre-service financial responsibility, propensity-to-pay scoring, billing policies, financial counseling, insurance eligibility, medical necessity, non-covered services, and payment collection policies. The coordinator monitors pre-service accounts receivable and the workflow of daily operations. The role supports the Patient Financial Clearance Services Call Center, promotes compliance with state and federal regulations, coordinates with vendors and internal stakeholders, and reviews operational reports to identify workflow issues and improvement opportunities. The coordinator also supports payer-related processes, collection practices, training, budgeting, special projects, and reporting. Remote employment is limited to candidates residing in Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, or Virginia. Travel to off-site locations may be required.

Requirements

High school diploma required.
One year of experience with pre-access services policies required.
Travel to off-site locations may be required.
Communicate clearly and concisely, with good hand-eye coordination.
Excellent oral and written communication skills.
Maintain good rapport and professional relationships with caregivers.
Demonstrate excellent customer service through friendly, courteous, and helpful behavior.
Operate equipment such as computers, telephones, fax machines, and copiers on a continuous or repetitive basis.
Meet the physical demands of sitting, walking, and standing.
Analyze and interpret data; maintain excellent short- and long-term memory; perform multiple tasks and follow system policies and procedures.
Visually assess paper and electronic data, hear telephone conversations, and converse.
Demonstrate initiative and excellent organizational and interpersonal skills.
Quickly assess and respond appropriately to emergency situations.
Comprehend medical terms and use analytical skills to resolve complex problems involving scientific, mathematical, or technical principles.
Have knowledge and experience with a variety of information systems and Internet usage, and experience with spreadsheet and word-processing software.
Work independently and manage individual workload to meet productivity standards, with a varied schedule that includes weekend and evening coverage.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Assist with staffing the Patient Financial Clearance Services Call Center and provide customer service to supported service areas by communicating payer requirements and limitations.
Research state and federal regulations to ensure departmental compliance.
Assist with communication among Patient Access vendors and internal stakeholders to ensure technology quality and accuracy.
Review phone system and other reports, analyze data to identify potential stress points, and recommend improvements.
Monitor and report system-level point-of-service collection opportunities.
Coordinate payer-related issues for pre-service processes with the Managed Care Director.
Research and trend payer denials related to Pre-Access services and assist with developing future edits for quality assurance technology.
Maintain policies and procedures related to pre-service and point-of-service collection practices, and provide reasonable enterprise cash collection goals intended to meet or exceed the 75th percentile.
Assist the Financial Clearance Manager with supply and overtime budgets to help keep the department within budget.
Manage customer complaints and report necessary changes related to patient pre-service payment and pre-access services policies.
Support the Financial Clearance Manager with special projects and reporting.
Organize Financial Clearance department training needs with the training team and report special training needs.
Perform other duties as assigned.