Remote - Financial Clearance Coordinator
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, patient billing policies, financial counseling, insurance eligibility, medical necessity, non-covered services, and payment collection policies. The coordinator monitors pre-status accounts receivable and daily operational workflows. This position supports the Patient Financial Clearance Services Call Center, provides customer service to supported service areas, and communicates payer requirements and limitations. It helps ensure regulatory compliance, technology quality and accuracy, and effective pre-service and point-of-service collection practices. The coordinator also supports the Financial Clearance Manager with budgeting, projects, reporting, complaints, and staff training needs. 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 or equivalent.
- At least 1 year of experience with pre-access services policies.
- Clear, concise, and excellent oral and written communication skills.
- Ability to maintain a professional rapport with caregivers and demonstrate friendly, courteous, helpful customer service.
- Ability to analyze and interpret data, remember information, perform multiple tasks, and follow system policies and procedures.
- Ability to operate a computer, telephone, fax machine, and copier on a continuous or repetitive basis; the role also requires sitting, walking, and standing.
- Ability to visually assess paper and electronic data, hear telephone communications, and converse.
- Ability to work independently, manage workload to meet productivity standards, and work a varied schedule that includes weekend and evening coverage.
- Demonstrated self-starter with excellent organizational skills.
- Ability to quickly assess and respond appropriately to emergency situations.
- Ability to comprehend medical terminology.
- Analytical skills to resolve complex problems using scientific, mathematical, or technical principles.
- Knowledge and experience with a variety of information systems and Internet usage, as well as spreadsheet and word-processing software.
- Travel to off-site locations may be required.
Nice To Haves
- Bachelor's degree.
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 help ensure department compliance.
- Coordinate communications with Patient Access vendors and internal stakeholders to support 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 quality-assurance technology edits.
- Maintain policies and procedures related to pre-service and point-of-service collection practices.
- 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 to patient pre-service payment and pre-access services policies.
- Support the Financial Clearance Manager with special projects and reporting.
- Organize department training needs with the training team and report special training needs.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
