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St. Joseph's Health · 6 days ago

Financial Clearance Specialist

Syracuse, NY

Full-time

Onsite

Senior Level

$19.20/hr - $28.80/hr

5+ years exp

St. Joseph's Health is a compassionate healthcare provider committed to outstanding clinical outcomes. The Financial Clearance Specialist will process financial clearances for complex services and manage high-dollar service verifications.

Health CareHospitalMedicalNon ProfitPrimary and Urgent Care

Responsibilities

Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases

Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling

Qualification

Financial clearance experiencePatient Registration systemsNational certification requiredScheduling expertiseInsurance verification processesCommunication skillsAttention to detail

Required

Minimum of five (5) years of financial clearance / authorization experience in an acute care setting

High School Diploma or equivalent

Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access

National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire

Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems

Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases

Experienced in complex facility based ancillary testing across multiple facilities/states

Preferred

Associates Degree, preferred

Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting

Experience in complex facility based ancillary testing across multiple facilities/states

Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures