Financial Clearance Associate - Day and Weekend Shift jobs in United States
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Komen Graduate Training Program UT MDACC ยท 2 hours ago

Financial Clearance Associate - Day and Weekend Shift

The Komen Graduate Training Program at UT MD Anderson is seeking a Financial Clearance Associate to enhance the patient experience by managing financial processes with accuracy and compassion. The role involves verifying patient eligibility, managing pre-authorizations, and providing financial counseling while ensuring compliance with departmental policies.

Hospital & Health Care

Responsibilities

Verify Patient Eligibility: Obtain and document eligibility and effective dates using institutional and payor systems within required timeframes. Notify Patient Access and patients promptly if eligibility cannot be verified
Update Insurance Information: Collaborate with Patient Access to ensure accurate insurance details are documented in accordance with department policies
Confirm Patient Benefits: Document benefit details including product type, network status, co-payments, deductibles, co-insurance, pre-existing conditions, and coverage limits in the electronic health record
Manage Pre-Authorizations: Monitor work lists, obtain required pre-authorizations from payors or vendors, and accurately record reference numbers and contact details
Clinical Trial Coverage: Document and review coverage responsibilities between clinical trial sponsors and patient insurance
Provide Financial Counseling: Review cost estimates, calculate patient liability, discuss payment requirements, collect amounts due, and explain payment plans and financial assistance options
Submit Documentation: Complete and submit all required documents (e.g., PFA, COBRA) for supervisor approval
Escalate Issues: Promptly escalate financial clearance or counseling concerns to the Supervisor or Coordinator as appropriate
Maintain Accurate Records: Document all communications with patients, payors, vendors, and internal teams completely and accurately
Respond to Inquiries: Answer emails, phone calls, and messages within one business day
Professional Conduct: Perform all activities courteously and maintain positive relationships with patients, physicians, payors, and business partners
Continuous Improvement: Participate in training and mentoring opportunities to enhance job performance and personal growth
Other Duties: Perform additional tasks as assigned

Qualification

Financial CounselingEligibility VerificationPre-Authorization ManagementHealthcare ExperienceInsurance KnowledgeCertified Healthcare Access AssociateCertified Healthcare Access ManagerCustomer ServiceProfessional ConductDetail OrientedTeamworkCommunication Skills

Required

High School Diploma or Equivalent
3 years Experience in healthcare, insurance, customer service, hospitality, business or related field
1 year Required experience with preferred degree
Must pass pre-employment skills test as required and administered by Human Resources

Preferred

Associate's Degree Business or healthcare
5 years business experience in healthcare
Experience with registration, patient access, and/or patient services
CHAA - Certified Healthcare Access Associate Upon Hire
CHAM - Certified Healthcare Access Manager National Association of Healthcare Access Management. Upon Hire

Benefits

Comprehensive Benefits: MD Anderson offers paid medical benefits, generous paid time off (PTO), and robust retirement plans to support your health and future.
Work-Life Balance: Enjoy flexible scheduling options and resources designed to help you thrive both professionally and personally.
Career Growth: Access to training, education, and mentoring opportunities to help you advance your career.
Meaningful Impact: Every day, your work helps patients focus on healing while we handle the financial details with care and integrity.
Excellent benefits , including medical, dental, paid time off , retirement , tuition benefits, educational opportunities, and individual and team recognition.

Company

Komen Graduate Training Program UT MDACC

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Through generous funding from Susan G.

Funding

Current Stage
Early Stage
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