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Saint Joseph Mercy Health System · 1 day ago

Financial Clearance Specialist I - Radiology, Part Time

United States

Part-time

Remote

Entry, Mid Level

2+ years exp

Saint Joseph Mercy Health System is a leading healthcare organization, and they are seeking a Financial Clearance Specialist I to support financial clearance and insurance verification processes. The role involves ensuring accurate insurance information and initiating the billing process for services provided by the hospital.

Health CareHospitalMedicalNon Profit

Responsibilities

Responsible for all pre-service account’s financial clearance and collection prior to the date of service

Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections

Begins the overall patient experience and initiates the billing process for any services provided by the hospital

Qualification

Financial clearance knowledgeInsurance verification processesPatient Registration systemsNational certification HFMA CRCRNational certification NAHAM CHAAPeer influencingCritical thinkingProblem-solving

Required

Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance 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

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