FINANCIAL CLEARANCE COORDINATOR

Mercy Medical Center • Baltimore, MD

7d

About The Position

The Financial Clearance Coordinator works in Mercy Medical Center’s Institute for Cancer Care. The role supports the pre-certification process by coordinating with Utilization Review nurses and gathering complete, accurate information. It also involves verifying patients’ insurance benefits, estimating treatment costs for infusion patients, obtaining authorizations for infusion services at the downtown and hub campuses, and maintaining an established productivity level. The coordinator works with patients and families to assess coverage and possible eligibility for Medical Assistance, charitable consideration, or alternative payment arrangements, and collaborates with physicians’ offices and internal departments.

Requirements

• High school diploma or GED.

Nice To Haves

• One year of health care registration or billing experience is preferred.

Responsibilities

• Collaborate with Utilization Review nurses to ensure complete and accurate information needed for the pre-certification process.
• Establish and maintain relationships with physicians and their staff, as well as Social Work, Patient Accounts, and Utilization Management departments.
• Interview patients or family representatives to verify lack of coverage and determine potential eligibility for Medical Assistance, charitable consideration, or alternative payment arrangements.
• Contact patients, family members, or physicians’ offices to obtain information not received at registration.
• Verify benefits and provide estimated treatment costs for infusion patients.
• Obtain authorizations for infusion patients at the downtown and hub campuses via work queues and maintain an established level of productivity.

Benefits

• Competitive health, prescription, vision, and dental benefits and a wellness credit for eligible employees.
• 403(b) retirement plan with company match and a catch-up provision.
• Paid time off and company-paid holidays.
• Tuition reimbursement.
• Mental health resources and other employee wellness opportunities through the Employee Assistance Program.
• Employer-paid short- and long-term disability benefits for eligible employees.
• Voluntary benefits.
• Discounts on auto and home insurance and Verizon plans.
• Mercy’s Rewards & Recognition Program.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED