Financial Clearance Specialist

🔥 14 hours ago

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $20 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

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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 • Collect co-pays, deductibles, coinsurances, down payments, and other patient financial liabilities • Provide estimates for services and explain patient financial liability variables • Receive and process patient payments for current and past balances • Resolve insurance and financial issues before services are rendered • Initiate contact with insurance companies to obtain eligibility and accurate billing information • Perform collections with outstanding accounts receivable • Ensure pre-certification authorization and/or referrals are in place before service • Refer patients to Financial Counselors or the Business Office as appropriate • Reschedule appointments when requested or when financial circumstances require postponement • Enter clear notes about financial clearance status in the system • Apply Financial Clearance policies and procedures consistently • Assess coverage gaps and patient financial exposure • Reprioritize work as needed 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 preferred, Physician office or collection agency • 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 • Equivalent combination of education and experience may be substituted for the requirements

🏖️ Benefits

• Potential signing bonus, subject to eligibility • Remote work arrangement (Primarily Remote) • Union representation through SHARE (State Healthcare and Research Employees)

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