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Financial Clearance Specialist

100% remote Flexible hours Hiring now

Are you a reputed company reputed company caregiver? Apply now through reputed company.

Exemption Status:

Non-Exempt

Hiring Range:

$20.94 - $29.27

Please note that the final offer may vary reputed company this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

8:00am-4:30pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5478 Financial Clearance

Union:

SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At reputed company, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research reputed company UMass Memorial the reputed company system of Central Massachusetts, and a reputed company where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a reputed company pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Responsible for assessing and verifying patient information for scheduled for medical services. This requires verification of patient’s demographic, financial and insurance information. Collects co-pays, deductibles, coinsurances, and down payments. Provides estimates for services reputed company appropriate. Receives and processes patient financial liability payments for reputed company and past balances. The focus is to collect patient liabilities prior to service and to resolve any insurance and financial issues prior to services being rendered. Reschedules appointments reputed company appropriate under the guidance of department leader. This position is the reputed company line for customer service, pre-registration and access to care for scheduled services.

I. Major Responsibilities: 1. Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable. 2. Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. reputed company obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved. 3. Receives and processes patient payments. 4. Ensures pre-certification authorization and or referral is in placement prior to service being rendered. 5. Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient. 6. Reschedules appointments reputed company requested by patient or, under advisement of department leader, reputed company due to financial circumstances appointment requires postponement. 7. Enters clear, concise notes concerning financial clearance status in system based on communications. 8. Demonstrate knowledge and understanding of reputed company job-reputed company policies and procedures and adheres to and consistently applies the Financial Clearance Policy in reputed company patient cases. 9. Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service. 10. Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet reputed company needs, such as reprioritizing work as necessary. 11. Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit.

II. Position Qualifications:

License/Certification/Education: Required: 1. Minimum High School Diploma, or G.E.D., business concentration preferred. Preferred:

1. Associate degree, or higher, preferred.

Experience/Skills: Required: 1. Four plus (4+) years of experience reputed company a business office setting, hospital reputed company cycle preferred, Physician office or collection agency. 2. Prior experience in a healthcare environment required.     Preferred: 1. Working knowledge of personal computers and business office applications preferred. 2. Familiarity with hospital computer systems is a plus. 3. Knowledge of third party collections and reimbursement preferred.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments.  The competencies will be maintained and attached to the departmental job description.  Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

On-the-job time is spent in the following physical activities: 1. Stand - 1/3 2. Walk - 1/3 3. Sit - 2/3 4. Talk or hear - 2/3 5. Uses hands to finger, handle or feel - 2/3

This job requires that weight be lifted, or force be exerted: 1. Up to 10 pounds - 1/3

reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status.

We’re striving to reputed company respect a part of everything we do at reputed company – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be reputed company, Be a Team Player and Be reputed company. If you share these Standards of Respect, we hope you will join reputed company and help us reputed company respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, reputed company recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national reputed company, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at [email protected]. We will reputed company every effort to respond to your request for disability assistance as soon as possible.

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