Scheduling and Financial Clearance Team Lead

BHS•Jeffersontown, KY
•Onsite

About The Position

Baptist Health is looking for a Scheduling and Financial Clearance Team Lead to join our team in Louisville, KY. The Team Leads provide support and training for Financial Clearance Center Staff. This includes initial training for new hires as well as ongoing training for current staff. The Team Leader acts as a resource for questions and support regarding current workflows. This is a working support position and is also responsible for completing financial clearance prior to point of service. Duties for this position include: obtain and validate orders, insurance verification, obtaining prior authorizations from insurance companies, compliance, pre-service estimates, payment plans, Medicaid referrals and charity pre-screening. Basic coding knowledge and proficiency in medical terminology is recommended, as this position requires extensive review of diagnosis and procedure codes. Excellent customer service skills are required. This position is imperative to avoid authorization or technical denials based on poor or incomplete information. This position serves as a liaison between the practices, insurance companies and the hospital department providing service. Effective Financial Clearance ensures a seamless patient financial experience.

Requirements

  • High school diploma or equivalent
  • Two years previous financial clearance experience
  • One year customer service experience
  • Comfortable with commonly used computer applications
  • Typing speed of 40-45 wpm

Nice To Haves

  • Basic coding knowledge
  • Proficiency in medical terminology

Responsibilities

  • Provide support and training for Financial Clearance Center Staff, including new hires and current staff.
  • Act as a resource for questions and support regarding current workflows.
  • Complete financial clearance prior to point of service.
  • Obtain and validate orders.
  • Perform insurance verification.
  • Obtain prior authorizations from insurance companies.
  • Ensure compliance.
  • Conduct pre-service estimates.
  • Manage payment plans.
  • Process Medicaid referrals.
  • Perform charity pre-screening.
  • Review diagnosis and procedure codes.
  • Serve as a liaison between practices, insurance companies, and hospital departments.
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