Lead Financial Clearance Specialist

November 25

🍂 Massachusetts – Remote

Although this job is listed in Massachusetts, this company may be open to hiring remote in other states.

💵 $22 - $36 / hour

⏰ Full Time

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

Apply Now

Receive Emails with Similar Jobs

UMass Memorial Health

WebsiteLinkedInAll Job Openings

Healthcare Insurance

UMass Memorial Health is a comprehensive health system located in Massachusetts. It serves as the clinical partner of UMass Chan Medical School and offers a wide range of healthcare services across its network of hospitals, including UMass Memorial Medical Center, Harrington Hospital, HealthAlliance-Clinton Hospital, Marlborough Hospital, and Milford Regional. The health system provides services in cancer care, diabetes, emergency and heart care, orthopedics, and more. It also offers behavioral health services and community health initiatives. UMass Memorial Health is renowned for its innovative clinical trials in oncology and has been recognized for its excellence in cancer programs. It serves as the exclusive healthcare provider for the Worcester Red Sox and offers extensive resources for patients, including financial counseling, price estimator tools, and various patient support services.

10,000+ employees

Founded 1884

⚕️ Healthcare Insurance

💰 $4.7M Grant on 2022-12

📋 Description

• Distributes and monitors the flow of work for an assigned group of employees • Provides training and technical assistance to employees within the assigned work area • Serves as a lead in implementing new or revised systems and procedures • Performs a variety of complex duties utilizing advanced insurance and payor knowledge • Works the referrals work queue and verifies that all authorizations and pre-certifications are in place prior to services being rendered • Verifies insurance eligibility utilizing available technologies, payor websites, or by phone contact with third party payors • Verifies patient insurance coverages using real time eligibility or batch processing as appropriate • Verifies that the correct insurance company name, address, plan, policy number and filing order are entered in the Epic system • Works patient and payor work queues so that patient accounts are complete prior to services being rendered • Complies with referral management regulations established for primary care providers • Communicates with insurance companies regarding all urgent/emergent surgeries/admissions following payor guidelines • Financial clearance may consist of updates and corrections to patient demographic and insurance information

🎯 Requirements

• High School Diploma • Associate Degree in Business or Healthcare related field preferred • Minimum of 3 years insurance verification and/or authorization experience • Minimum 1-year experience as a Financial Clearance Rep in good standing • English speaking, reading and writing skills • Strong oral and written communication and customer service skills • Ability to use specialized applications software and computer systems for patient registration and scheduling • Demonstrated knowledge of medical terminology • Bilingual preferred

🏖️ Benefits

• This position may have a signing bonus available