Financial Clearance Team Leader

Kennedy Krieger Institute•Baltimore, MD

9h•$45,060 - $75,604

About The Position

The Financial Clearance Team Leader serves as the lead verification specialist for team-designated responsibilities and tasks. The Financial Clearance Team Leader will provide support and assistance to a team of Insurance Verification Specialists (IVSs) and share knowledge formally and informally in both individual and group instruction. This position will serve as a resource to their IVS Team for special insurance verification cases and for gaining insurance clearance in difficult situations.

Requirements

National Association of Healthcare Access Management
High School diploma or GED required.
At least five years of previous insurance verification experience, previous formal supervisory experience, or a combination of both, is required.

Nice To Haves

Bachelor’s degree in Healthcare Administration or related degree preferred.

Responsibilities

Serves as a working/technical resource to team members. Plans, provides guidance and facilitates a team of Insurance Verification Specialists’ (IVSs) work activities.
Collaborates with the Patient Access Director to establish and adjust performance standards and workloads for staff. Creates and maintains a positive, knowledge-sharing, and collegial work environment and sets high work and ethical standards by providing mentorship, direction, and support to staff and customers.
Responsible for assisting the Patient Access Director in daily department operations.
Verifies, interprets, and documents patient health insurance or payment source.
Audits the IVS team’s work to ensure complete and accurate information is entered into the system. Communicates findings to the Director and subordinates and indicates areas that require improvement.
Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.
Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.
Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.
Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.
Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.
Other specific duties may include: hospital policy compliance, payment requirements, customer service, and orientation/preceptor of new staff.