Financial Clearance Specialist

🔥 0 minutes ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $20 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

👻 Ghost score 0%

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UMass Memorial Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1884

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $4.7M Grant on 2022-12

Healthcare • 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.

📋 Description

• Assess and verify patient demographic, financial, and insurance information for scheduled medical services • Initiate contact with insurance companies to obtain eligibility and accurate patient billing information • Collect copayments, deductibles, coinsurances, deposits, and other patient liabilities • Estimate patient financial liability and explain liability variables to patients • Receive and process patient payments for current and past balances • Ensure pre-certification authorization and/or referrals are in place before services are rendered • Refer patients to Financial Counselors or the Business Office based on patient needs • Reschedule appointments when requested or when financial circumstances require postponement • Enter clear, concise financial clearance notes in the system • Apply Financial Clearance Policy consistently and assess coverage gaps and patient financial exposure • Reprioritize work in response to changing situations and perform other assigned duties

🎯 Requirements

• Minimum High School Diploma or G.E.D.; business concentration preferred • Four plus (4+) years of experience within a business office setting; hospital revenue cycle, physician office, or collection agency preferred • Prior experience in a healthcare environment required • Working knowledge of personal computers and business office applications preferred • Familiarity with hospital computer systems is a plus • Knowledge of third-party collections and reimbursement preferred • Ability to verify demographic, financial, and insurance information • Unless certification, licensure or registration is required, an equivalent combination of education and experience may be substituted • Ability to work Monday through Friday, 8:00am–4:30pm, 40 hours per week

🏖️ Benefits

• Signing bonus may be available, subject to eligibility • Full-time schedule of 40 hours per week • Remote work arrangement (Primarily Remote)