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Financial Clearance Specialist - Admitting (Per Diem)

PeaceHealth is seeking a Financial Clearance Specialist - Admitting (Per Diem) for a per diem, Day shift position.

Req ID: 164860

 

JOB SUMMARY

Coordinates components of financial clearance. Includes pre-registration, insurance verification, prior authorization/notification requirements, and patient financial information. Informs the patient/guarantor of all financial liabilities and documenting pertinent information into appropriate systems. Communicates with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience.  Implements the Corporate Financial Counseling policy to ensure fair, thorough and consistent application of account resolution practices to promote corporate financial health.

 

ESSENTIAL FUNCTIONS

  1. Verifies patient insurance benefits and checks for prior authorization and/or provide notification of admittance.
  2. Pre-registers patients for scheduled services.
  3. Manages daily assignments using standardized protocols and works queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
  4. Maintains daily account follow-up as targeted by management.
  5. Responds to customer inquiries in accordance with state and federal laws or applicable internal policies. 
  6. May receive and post patient payments
  7. Performs other duties as assigned.
  8. Assists with departmental coverage as needed.
  9. Ensures proper billing procedures and privacy guidelines are implemented and carried out.

 

QUALIFICATIONS

EDUCATION:

  • College coursework in accounting, business, medical terminology, communication and social work preferred.

 

EXPERIENCE/TRAINING:

  • Minimum of 1 year experience in patient registration, insurance eligibility verification, prior authorizations, collections, customer service, billing or related medical field.
  • Familiarity with government, commercial and third-party billing preferred.
  • Experience with Epic registration system preferred.
  • Experience with Medicaid and Medicaid HMOs is preferred. Should have a working knowledge of CMS and other government programs. Demonstrates an understanding of managed care contracts and payer operations.

 

LICENSE/CERTIFICATION:      

  • N/A

 

OTHER SKILLS:

  • Proficient use of computers including MS Office applications
  • Proficiency with 10-key calculators
  • Working knowledge of standard office equipment
  • Strong communication skills, both verbal and written
  • Ability to work both independently and interdependently with staff and team members with limited supervision
  • Excellent problem solving and critical thinking skills

 

SHARED SERVICES PHYSICAL/COGNITIVE REQUIREMENTS:

  • Work requires fairly light physical exertion from up to 65% of the time.    
  • Ability to lift objects weighing 30 lbs. or less.          
  • Work is performed under normal working conditions with adequate lighting and ventilation.
  • Job duties frequently require intense concentration and attention to detail (up to 65% of work time).

 

 

 

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

 

About PeaceHealth

 

PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.

 

We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver community please visit our homepage: www.peacehealth.org/careers.

 

Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!

 

Questions? Review our Employment FAQ or email [email protected] Please note this email does not accept resumes or applications.

 

Location: Vancouver, Shared Services Center (802)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: Variable
FTE: 0.0
Work Type:  Per Diem/Relief
Hourly compensation starts at: $16.59, more depending on experience
Required Certifications/Licensure: 

 

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.

 

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

 

Posting Notes: Vancouver || Business, Administrative & Facilities || Accounting & Finance || Per Diem/Relief || PATIENT ACCOUNTING

Company
Peacehealth
Posted
08/18/2018
Type
Full time
Location
Vancouver, WA 98660, US