Financial Clearance Team Member

Duties: Position Summary: Serves as the pre-service point of contact for patients to obtain all necessary information to pre-register and financially clear patients prior to day of service delivery. Also handles non-clinical referrals and authorization coordination and unbilled account follow-up. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact by demonstrating knowledge of system and service offerings. Assignment Specific Responsibilities
Obtains and/or verifies demographic clinical financial and insurance information in the process of pre-registering and financially clearing patients for service delivery including the entry of patient/guarantor information in the patient registration/accounting systems
Conducts insurance eligibility/benefit verification referral/authorization and financial education on designated accounts
Performs activities that relate to pre-registration and financial clearance for multiple patient types (e.g. Inpatient Admissions Diagnostic Outpatients Ambulatory Surgery Series accounts) and supports coverage of other departmental divisions; Frequent communications will occur with patients/family members/guarantors and physicians/office staff in the deployment of key activities
Notifies patient/guarantor of patient liabilities collects such liabilities and/or refers appropriate cases to Financial Counseling for follow-up and consultation
Enhances the patient experience throughout all patient interactions which will be telephone based demonstrating knowledge of and service offerings
Authenticates patient identity throughout all essential functions
Provides logistics and way finding information
Performs revenue cycle tasks necessary to ensure compliance and exceptional customer service
Maintains knowledge of applicable Federal State and local laws and regulations Standards of Conduct as well as policies and procedures in order to ensure adherence in a manner that reflects honest ethical and professional behavior
In initial year participates in cross-training and job enlargement opportunities for Major job responsibilities. Works with direct supervisor to identify minor set of responsibilities to develop and perform in support of peaks valleys and cycles across Shared Services and individual career growth opportunities. Performs both Major and Minor responsibilities after initial year. 60% Continuous Improvement
Supports the implementation of programs policies initiatives and tools specific to Shared Services processes owned by Patient Access across the organization
Contributes ideas and actions towards the continuous improvement of Patient Access related processes within area of influence 10% Performance Management
Ensures delivery of business results by meeting or exceeding all individual operating metrics
Plans and organizes work so Individual Operating Metrics and Service Level Agreement objectives are realized
Recognizes and communicates potential issues to team leader as appropriate 10% People Development
Adapts to learning new processes concepts and skills
Seeks and responds to regular performance feedback from team lead; provides upward feedback as needed 10% Relationship Management
Maintains positive work relationships with members of other teams in Shared Services to communicate effectively and to ensure compliance with cross-team responsibilities
Assists in ensuring efforts of the Patient Access Center Team support building strong peer-to-peer relationships 10%.

Skills: Experience
Experience within a hospital or clinic environment an insurance company managed care organization or other financial service setting performing financial counseling financial clearance and/or customer service activities as typically acquired in two years
Completion of regulatory/mandatory certifications and skills validation competencies preferred Knowledge
General knowledge of patient access financial counseling functions in acute and non-acute settings preferred
Working knowledge of medical terminology desired
Working knowledge and understanding of insurance terminology desired
Working knowledge of applicable Federal State and local laws and regulations desired Skills
Excellent time management skills and the ability to manage frequent telephone patient contacts while effective maintaining and documenting data in the patient registration systems
Ability to utilize multiple modes of communication (e.g. phone fax patient portal e-mail physician portal mail etc.) in a professional accurate efficient and courteous manner
Demonstrated ability to work in multiple computer systems such as patient registration/accounting systems document imaging scanning payment posting proprietary payer websites and data quality monitoring both accurately and efficiently
Strong data entry skills required Excellent verbal and written communication and active listening skills
Interpersonal skills necessary in dealing with internal and external customers
Must possess a personal presence that is characterized by a sense of honesty integrity and caring with the ability to inspire and motivate others to promote the philosophy mission vision goals and values of
Accuracy and attentiveness to detail required
Must be able to set and organize own work priorities and adapt to change
Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having g diverse personalities and work styles
Ability to meet or exceed targeted customer service productivity and quality standards
Fluency in both English and a minimum of one other language is preferred for this role to allow to better serve the community and patient population Requires the ability to work with and maintain confidential information.

Education: High School Diploma Required. will only be considering candidates outside of CA for this role. Please do not submit CA candidates. Thank you!.

Skills:

• ACCOUNTING
• ACCOUNTING SYSTEMS
• CUSTOMER SERVICE
• DATA ENTRY
• DATA QUALITY

• DEPLOYMENT
• DOCUMENT IMAGING
• DOCUMENTING
• IMAGING
• INSURANCE TERMINOLOGY
• LOGISTICS
• MEDICAL TERMINOLOGY
• METRICS
• PATIENT REGISTRATION
• POSTING
• RELATIONSHIP MANAGEMENT
• SCANNING
• SERVICE LEVEL AGREEMENT
• TEAM LEAD
• TELEPHONE
• TIME MANAGEMENT
• TRAINING
• CUSTOMER SERVICE ORIENTED
• MANAGED CARE
• OFFICE MEDICAL
• RETAIL SALES