Financial Clearance Coordinator - OB-GYN PAH Shared jobs in United States
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Penn Medicine, University of Pennsylvania Health System · 1 month ago

Financial Clearance Coordinator - OB-GYN PAH Shared

Penn Medicine is dedicated to providing the highest level of care to patients and conducting innovative research. The Financial Clearance Coordinator acts as a revenue cycle expert, ensuring proper verification of eligibility and benefits, and serves as a liaison between practice operations and patient financial advocates.

BiotechnologyEducationHealth CareMedicalTraining

Responsibilities

Ensures that practice coordinates the pre-registration process to include demographic and insurance verification and that authorization/pre-certifications are obtained per payer regulations and maintains accurate records of authorizations within the EHR
Serves as point of contact for addressing account issues, patient concerns, or billing and insurance questions before they are escalated to a supervisor or manager
Coordinates benefits by effectively determining primary, secondary, and tertiary liability when needed
Connects patients with financial counselors when further explanation or education is needed regarding payment plans or financial assistance
May conduct some basic financial counseling duties as necessary
Communicates liabilities directly to patients and provides education on key insurance terms and rules may often handle patients with more complicated insurance plans (e.g., workers’ compensation)
Demonstrates expert understanding of payer regulations and contracts and insurance terminology (e.g., co-payments, deductibles, allowances, etc.), and analyzes information received to determine patients’ out-of-pocket liabilities
Complies with HIPAA regulations, maintaining confidentiality and utilizing information only as necessary to complete work, as well as adheres to all other federal, state, and organizational requirements

Qualification

Insurance verificationRevenue cycle managementFinancial counselingHealthcare administrationCommunication skillsProblem-solving skillsConfidentiality adherence

Required

H.S. Diploma/GED
5+ years Experience in insurance verification, revenue cycle functions, hospital/physician offices, or related areas

Preferred

Associate of Arts or Science
Education Specialization: Healthcare Administration or related field

Benefits

One of the finest prepaid tuition assistance programs in the region

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Funding

Current Stage
Late Stage
Total Funding
$70.9M
Key Investors
BIRD FoundationWarren Alpert FoundationNational Cancer Institute
2025-01-22Grant
2023-01-03Grant· $9.7M
2022-08-18Grant· $5.7M

Leadership Team

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Kevin Mahoney
Chief Executive Officer of University of Pennsylvania Health System
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John Donohue
Vice President, Enterprise Services
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Company data provided by crunchbase