Remote - Financial Clearance Coordinator

Under the direction of the Patient Access Services and Special Project Director, responsible for assisting patient with inquiries related to pre-service patient financial responsibility, propensity to pay scoring, patient billing policies, financial counseling, insurance eligibility, medical necessity, non-covered services and patient payment collection policies. The coordinator will be responsible for monitoring the pre-status accounts receivables and overall workflow of daily operations.

Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.

• Assists with staffing the Patient Financial Clearance Services Call Center, provides superior customer service to the service areas we support by communicating payor requirement and/or limitations.
• Researches state and federal regulations to ensure compliance standards are met within the department.
• Assists with communication of all Patient Access vendors and internal stakeholders to ensure quality and accuracy of the technology.
• Reviews phone system and other reports, analyzing data to identify potential stress points and recommend areas of improvement.
• Monitors and reports point of service collection opportunities at the system level
• Coordinates payer related issues for pre-service processes to the Managed Care Director.
• Researches and trends payer denials related to Pre-Access services and assists with the development of future edits for the quality assurance technology.
• Maintains the policies and procedures related to pre-service and point of service collection practices. Provides reasonable cash collection goals for the enterprise to meet or exceed the 75th percentile.
• Assists the Financial Clearance Manager with the supply and overtime budget to ensure the department stays within budget.
• Manages customer complaints and reports any necessary changes needed related to patient pre-service payment and pre-access services policies.
• Provides support to the Financial Clearance Manager for special projects and reporting
• Organizes all training needs for the Financial Clearance department with the training team and reports any special training needs
• Other duties as assigned

Education

• H.S. Diploma - Required
• Bachelor's Degree - Preferred

Work Experience

• 1 Year - Experience with pre-access services policies - Required

Licenses and Certifications

• Upon Hire

Travel Requirements

• Travel to off-site locations may be required. - Required

Skills and Abilities

Essential Technical/Motor Skills

• Communicates clearly and concisely; good hand eye coordination

Interpersonal Skills

• Excellent oral and written communication skills.
• Maintains good rapport and professional relationship with caregivers.
• Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors.

Essential Physical Requirements

• Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier.
• Multi-skilled responsibilities require sitting, walking and standing.

Essential Mental Abilities

• Analyze and interpret data.
• Excellent short term and long term memory.
• Ability to perform multiple tasks and follow system policies and procedures.

Essential Sensory Requirements

• Visually assess paper and electronic data, hear telephone and converse

Exposure to Hazards

Other Skills and Abilities

• Demonstrated self-starter.
• Excellent oral, written, and interpersonal communication skills; excellent organizational skills.
• Ability to quickly assess and respond appropriately to emergency situations.
• Ability to comprehend medical terms.
• Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles.
• Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software.
• Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.