Financial Clearance Unit Coordinator

EvergreenHealth•Kirkland, WA

5d•$26 - $42

About The Position

Responsible for coordinating the daily activities of the Financial Clearance Unit, including insurance verification, preauthorization processing, and financial counseling/screening including working with charity care applications, patient estimates and onsite Medicaid. Engages in active identification and correction of internal processes that contributes to denials. Maintains excellent business practices, understands all regulatory guidelines and supports maximum customer service, especially with regard to patient satisfaction and maintaining good payer relations.

Requirements

High school graduate or equivalent
5 years direct hospital experience
Experience in working with healthcare insurers and their reimbursement systems, especially Medicare, DSHS, L&I and contract payers in a hospital patient accounts department, insurance carrier or for major physicians’ clinic
Knowledge of medical terminology
Knowledge of clinical/medical office procedures

Nice To Haves

Leadership and problem solving experience
Knowledge of insurance, ICD9 and CPT codes, and their successors as implemented

Responsibilities

Actively and independently problem solves, facilitates the identification of internal process within the organization to reduce rework and denial trend, participate in the implementation of new processes and timely responds to new trends with regards to payer denials and claim adjudication issues by communicating to proper personnel for resolution or escalation.
Provides input and analysis of internal deficiencies, facilitate correction in a timely manner with may involve input from patient care departments, Health Information Management personnel , registration and other key hospital departments.
Assists department leadership with development of monthly staffing schedules to provide coverage for open shifts, illnesses, vacations and other absences.
Verifies and obtains insurance authorization for services as required.
Works closely with schedulers/financial counselors for appointment cancellations and rescheduling as needed.
Coordinates work flow and communication between multiple EvergreenHealth departments (Patient Access, DI, Radia, and EHPC), insurance providers, and patients.
Initiates, completes, and follows-up on all aspects of obtaining preauthorization for specified outpatient services.
Identifies and communicates changes in process, insurance requirements, provider changes and guidelines to leaders and team members in a timely manner.