Financial Clearance - Otolaryngology-1

Ann & Robert H. Lurie Children's Hospital of Chicago•Chicago, IL

9d•Onsite

About The Position

The Financial Clearance I secures required precertification/prior authorizations for ambulatory, inpatient, outpatient surgery, and admissions cases. Interprets and obtains data for medical necessity and precertification compliance; calculates, explains, and collects patient liabilities; and completes third-party eligibility and benefit verification in order to ensure compliance with government/regulatory and third-party payer requirements, and to ensure prompt and accurate billing and payment of hospital accounts receivable.

Requirements

High school graduate required; BS or BA preferred.
Excellent communication/listening skills.
Demonstrates knowledge of utilization management process including communication with payors and benefit authorization for applicable situations.
Experience reviewing medical charts/records and abstracting relevant clinical data to support medical necessity of scheduled procedures.
Minimum two years’ experience in pre-certification initiation in a hospital/facility setting or physician office environment working precertification for inpatient, outpatient, outpatient surgery and admissions.
Knowledge of medical terminology, third party billing, utilization management and managed care requirements.
Proficient computer skills and aptitude.
Substantial interpersonal skills sufficient to work effectively with pediatric patients, families, physicians, nursing and other allied health and medical center personnel.
Problem solving ability and able to handle multiple priorities.

Responsibilities

Ensures pre-certifications are completed prior to visit for all scheduled appointments.
Manages precertification cases for outpatient surgery, admission authorizations, radiology, sleep studies, and referrals for office visits.
Maintains current knowledge of insurance requirements, benefit provisions and pre-certification.
Contacts patient and/or division teams to provide updates on precertification status and timeliness.
Generates patient estimates and contacts patient to provide details on patient financial responsibility.
Updates patient’s registration information as needed.
Consistently meets quality and productivity requirements.
Other job functions as assigned.

Benefits

Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program