Saint Alphonsus · 2 weeks ago
Financial Clearance Specialist part-time As Needed
Boise, ID
Part-time
Hybrid
Entry, Mid Level
2+ years expSaint Alphonsus Health System is hiring for their Financial Clearance team. The Financial Clearance Specialist is responsible for obtaining and verifying patient information, handling insurance eligibility and benefit verification, and providing financial education to patients.
Health CareMedical
Responsibilities
Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem-solving skills are essential
Ensures patient safety by authenticating patient identity throughout all essential functions
Meets or exceeds established customer service, productivity and quality standards in all essential functions
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence
Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions
Responsible for pre-registering the patient for upcoming visit(s). Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system
Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system
Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary
Informs patient/guarantor of their liabilities and collects appropriate patient liabilities. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required
Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance
May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees
Must be able to sit or stand for extended periods of time and use a telephone headset
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Working knowledge of medical terminology desirable. Basic computer skills are required
Excellent communication (verbal and written) and organizational abilities
Must be comfortable operating in a collaborative, shared leadership environment
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health
Qualification
Required
High school diploma or equivalent
at least 2 years of experience working in financial clearance or patient access
National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire
Preferred
at least 2 years of experience within healthcare and/or payer environment performing patient access and/or customer service activities
Associate degree or equivalent combination of education and experience
Data entry skills (50-60 keystrokes per minute)
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Working knowledge of medical terminology desirable
Basic computer skills are required
Excellent communication (verbal and written) and organizational abilities
Must be comfortable operating in a collaborative, shared leadership environment
Benefits
Market-competitive pay
Generous PTO
Multiple options for comprehensive benefits that begin on day one
Retirement planning and matching
College savings plans for your family
Multiple life insurance plans that can change as your needs develop
Employee Assistance Programs
Tuition reimbursement
Educational opportunities to help you learn and grow
Company
Saint Alphonsus
Saint Alphonsus is a four-hospital regional, faith-based Catholic ministry with more than 7,000 colleagues and providers serving more than 700,000 people in Idaho and Oregon, with outreach services to Utah, Montana, and Nevada.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Misti Leavitt
Vice President Operations/CNO
Alexandra Oliver, RACR
Talent Sourcing Partner
Recent News
Idaho Business Review
2025-02-06
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