PeaceHealth is seeking a Financial Clearance Specialist 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: 163106
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.
Verifies patient insurance benefits and checks for prior authorization and/or provide notification of admittance.
Pre-registers patients for scheduled services.
Manages daily assignments using standardized protocols and works queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
Maintains daily account follow-up as targeted by management.
Responds to customer inquiries in accordance with state and federal laws or applicable internal policies.
May receive and post patient payments
Performs other duties as assigned.
Assists with departmental coverage as needed.
Ensures proper billing procedures and privacy guidelines are implemented and carried out.
College coursework in accounting, business, medical terminology, communication and social work preferred.
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.
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.
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 .
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: $ 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 || Billing/Coding || Full Time || PATIENT ACCOUNTING
Internal Number: 163106
PeaceHealth Physicians are as diverse as the communities they serve, but have the following in common:Dedication to carrying on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering and treating each person in a loving and caring way.A shared vision of every patient receiving exceptional, compassionate evidence-based care, every time, every touch.