Financial Clearance Specialist I
Financial Clearance Specialist I
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Job Description
Overview
Fred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.
With a track record of global leadership in bone marrow transplantation HIV/AIDS prevention immunotherapy and COVID-19 vaccines Fred Hutch has earned a reputation as one of the worlds leading cancer infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology infusion radiation proton therapy and related services and network affiliations with hospitals in five states. Together our fully integrated research and clinical care teams seek to discover new cures to the worlds deadliest diseases and make life beyond cancer a reality.
At Fred Hutch we value collaboration compassion determination excellence innovation integrity and respect. Our mission is directly tied to the humanity dignity and inherent value of each employee patient community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.
- The Financial Clearance Specialist I is an entry level position within the Financial Clearance team of The Fred Hutch Cancer Center. This role is responsible for ensuring patients are financially cleared for routine services prior to receiving care by verifying insurance eligibility confirming benefits obtaining necessary authorization and identifying out-of-pocket costs. The Financial Clearance Specialist I collaborates with patients insurance providers and clinical staff to provide excellent service while maintaining accuracy and compliance with payer and organizational policies.
- The role serves as a primary point of contact for patients regarding financial inquiries and requires attention to detail to ensure accurate and timely processing of pre-service tasks in accordance with payer requirements and the Fred Hutch delay/defer policy.
- The Specialist is required to comply with government regulations (i.e. EMTALA and HIPAA) as it pertains to all financial clearance processes. In addition this role is required to maintain professional development by attending workshops in-services and webinars to ensure adherence to updated insurance rules/regulations and changes within the healthcare industry.
This position is full time 1.0 FTE.
Responsibilities
- Insurance Verification: Confirm patients insurance coverage and eligibility using payer portals clearinghouses or by contacting payers directly.
- Benefit Validation: Validate specific plan benefits such as deductibles copayments and out-of-pocket maximums to determine patient financial responsibility.
- Documentation: Accurately document insurance details coverage limitations and benefit confirmations in the patients record or financial clearance system.
- Pre-Registration: Assist with gathering and verifying patient demographic information and updating records as needed.
- Patient Communication: Contact patients to explain benefits notify them of out-of-pocket costs and address any concerns or questions regarding financial responsibility.
- Denial Prevention: Identify potential financial barriers (i.e. lack of coverage or invalid insurance information) and proactively escalate issues to Financial Clearance Specialist Lead.
- Compliance: Adhere to organizational policies payer regulations and state/federal requirements to ensure compliance with all financial clearance activities.
- Collaboration: Work closely with scheduling financial counseling and prior authorization teams to resolve discrepancies and ensure patient readiness for treatment.
Qualifications
Required:
- High school diploma or equivalent
- 1 year of relevant customer-facing experience
- Basic understanding of health insurance concepts including deductibles copayments coinsurance and prior authorizations is required.
- Basic knowledge of different payer types medical terminology CPT codes and interpretation of patient liability and benefits is preferred but not required.
- Familiarity with healthcare terminology and general revenue cycle functions is preferred but not required
Preferred:
- Associate/bachelors degree in business healthcare administration or a related field
- Strong attention to detail for reviewing and documenting patient information accurately is required.
- Excellent communication empathy and customer service skills during interaction with patients team members and other departments are required.
- Basic proficiency in Microsoft Office Suite is required. - Basic familiarity with electronic health record (EHR) systems is preferred but not required.
The hourly pay range for this position is from $24.02 to $34.19 and pay offered will be based on experience and qualifications.
This position is full time 1.0 FTE.
Additional Information
Required Experience:
Unclear Seniority
Employment Type
Full-Time
