Financial Clearance Specialist
UMass Memorial Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Massachusetts • 🇺🇸 United States
Visit company websiteSalary
💰 $21 - $34 per hour
Job Level
Mid-LevelSenior
About the role
- Responsible for assessing and verifying patient information for scheduled medical services.
- Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable.
- Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information).
- Answers patient inquiries regarding their liability and able to explain the variables involved.
- Receives and processes patient payments.
- Ensures pre-certification authorization and or referral is in placement prior to service being rendered.
- Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient.
- Enters clear, concise notes concerning financial clearance status in system based on communications.
Requirements
- Minimum High School Diploma, or G.E.D., business concentration preferred.
- Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
- Prior experience in a healthcare environment required.
- Working knowledge of personal computers and business office applications preferred.
- Familiarity with hospital computer systems is a plus.
- Knowledge of third party collections and reimbursement preferred.
Benefits
- This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
patient billingcollectionsfinancial liability estimationpre-certification authorizationreferral processingdata entryinsurance verificationaccounts receivable managementthird party collectionsreimbursement knowledge
Soft skills
communicationcustomer serviceproblem-solvingattention to detailorganizational skills
Certifications
High School DiplomaG.E.D.