Financial Clearance Specialist
Position Summary:
Responsible for obtaining and reviewing clinical procedure orders and ensuring ordered procedures are scheduled appropriately. Works directly with patients, provider clinics, insurance companies, and government agencies gathering relevant information for upcoming testing or procedure visits. Works with patients and patient families in order to gather necessary information and establish communication of financial responsibility. Responsible for all administrative and financial components of financial clearance.
Responsibilities:
- Collects demographic, insurance, and financial information from incoming patients prior to delivery of services
- Identifies and verifies active payer sources for patients
- May perform scheduling functionality in collaboration with appropriate service line resource utilization
- May assist in point of service admissions processes
- Obtains any pre-authorizations / pre-certifies services to secure payer payment obligation
- May reviews claims or records to ensure accurate completion or coding in an effort to reduce reimbursement denials
- Calculates, communicates, and attempts to collect patient financial liability as assigned by patient’s insurance policy
- Educates patients on insurance policy limitations, self-pay obligation, payment alternatives, and assists patient in navigating the financial assistance programs offered through the Business Office
- Communicate with patients, physicians, payers, families and co-workers in person and on telephone
- Performs other related duties as assigned
- Familiar with standard concepts, practices, and procedures within the field
- Regular and predictable attendance is an essential job function
- Competent to meet age specific needs of the unit assigned
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Requirements and Minimum Qualifications:
- High school diploma preferred
- Minimum of 1 to 3 years’ experience in Patient Registrar, Medical Billing Office or Insurance required
- Knowledge of ICD10, CPT4, and HCPCS codes; and Medical Terminology required
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Working Conditions:
- Must be able to maintain a sitting position
- Typical equipment used in an office and clinical job
- Must be able to stoop, crouch or bend
- Remote eligible
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About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
- Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
- Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
- Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
- Competitive salaries with night, weekend, and PRN shift differentials
- An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
- Employees receive discounts at The Wellness Bar, PEAK Fitness, and more
- Robust and interactive employee referral program
- And much more
If you strive to be an integral part of a high-quality healthcare system like Kootenai Health, we want to meet you!
Apply today! You can also contact the HR Front Desk at 208-625-4620 or email [email protected] with any questions.
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.