Share this Job

Financial Clearance Specialist Lead - Financial Clearance

Benefits Eligibility (Employment Type):  Full-time benefits (32-40 hours per week)
Shift Type:  Day
Shift Length:  8 Hours
Primary Location (City):  Vancouver
State:  WA

PeaceHealth is seeking a Financial Clearance Specialist Lead - Financial Clearance for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 178205

 

JOB SUMMARY

Responsible for coordinating the day-to-day functions for assigned area.  Assists with ensuring that departmental goals are achieved, timelines met and service excellence provided in all aspects of work. Subject matter expert. 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. Assigns work, plans and manages priorities, provides technical assistance, oversees staff schedules, monitors quality of work, monitors team projects, mentors staff, provides constructive feedback, oversees staff training, ensures quality improvement, provides leadership feedback on staff performance, and assists with goal setting for the team.
  2. Verifies patient insurance benefits and checks for prior authorization and/or provide notification of admittance.
  3. Pre-registers patients for scheduled services.
  4. Manages daily assignments using standardized protocols and works queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
  5. Maintains daily account follow-up as targeted by management.
  6. Responds to customer inquiries in accordance with state and federal laws or applicable internal policies. 
  7. May receive and post patient payments
  8. Performs other duties as assigned.
  9. Assists with departmental coverage as needed.
  10. 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 three years experience in patient registration, insurance eligibility verification, prior authorizations, collections, customer service, billing or related medical field required.
  • Familiarity with government, commercial and third-party billing.
  • Experience with Epic registration system preferred.
  • Experience with Medicaid and Medicaid HMOs. 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 Recruitment@peacehealth.org. 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: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $18.62, 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 || Full Time || PATIENT ACCOUNTING


Nearest Major Market: Portland Oregon
Nearest Secondary Market: Tacoma

Job Segment: Financial, Medical, Social Media, EMR, Fundraising, Finance, Healthcare, Marketing, Nonprofit