Financial Clearance Specialist
Financial Clearance Specialist
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Job Description
Overview
Located conveniently in the heart of Phoenix Arizona St. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of health social and support services. Founded in 1895 by the Sisters of Mercy St. Josephs was the first hospital in the Phoenix area. More than 125 years later St. Josephs remains dedicated to its mission of caring for the poor and underserved.
We are extremely proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow Neurological Institute Norton Thoracic Institute Cancer Center at St. Josephs Ivy Brain Tumor Center and St. Josephs Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics neuro-rehabilitation orthopedics and other medical services. St. Josephs is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day approximately 20 percent of the hospitals patients have traveled from outside of Arizona and the United States to seek treatment at St. Josephs.
U.S News & World Report routinely ranks St. Josephs among the top hospitals in the United States for neurology and addition St. Josephs boasts the Creighton University School of Medicine at St. Josephs and a strategic alliance with Phoenix Childrens Hospital.
St. Josephs is consistently named an outstanding place to work and one of Arizonas healthiest employers. Come grow your career with one of Arizonas Most Admired Companies.
Look for us on Facebook and follow us on Twitter.
For the health of our community ... we are proud to be a tobacco-free campus
Responsibilities
Perform necessary research on various ETM edits. Verify demographics and financial information resolving any discrepancies that will prevent or delay timely billing. Collaborate with registration and scheduling departments. Provide feedback to clinic operations. Performs electronic billing functions and demonstrates detailed knowledge of insurance billing guidelines and regulations for third party payers. Responsible for analyzing designing and developing specifications for enhancements and extensions to electronic data interchange application interfaces and maps. Tests implements and maintains EDI transactions. Provides technical expertise and support for EDI communication. Demonstrates knowledge of HCFA 1500 billing and filing requirements and exhibits an understanding of electronic claims editing and submission capabilities.
We offer the following benefits:
Employee Assistance Program (EAP) for you and your family
Health/Dental/Vision Insurance
Flexible spending accounts
Voluntary Protection: Group Accident Critical Illness and Identity Theft
Adoption Assistance
Paid Time Off (PTO)
Tuition Assistance for career growth and development
Pension Plan
Matching Retirement Programs
Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18000 over five years while part-time employees can receive up to $9000. Advanced Practice Providers and Faculty Physicians can receive up to $90000 if full-time and hired within a year of completing their residency or fellowship. Part-time providers can receive up to $ our team at Dignity Health to take advantage of this amazing opportunity!
Qualifications
Required:
One (1) year experience in electronic billing processes and proficiency with electronic data applications. Four (4) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/ reimbursement/appeals experience). AHCCCS/ Medicare/government Commercial payer experience. HCFA 1500 billing experience.
High School diploma or equivalent
Required Experience:
Unclear Seniority
Employment Type
Unclear
