Geisinger · 1 week ago
Financial Clearance Specialist Associate (Pennsylvania resident)
Danville, PA
Full-time
Onsite
Entry Level
1+ years expGeisinger is a healthcare organization dedicated to caring for patients and communities. They are seeking a Financial Clearance Specialist Associate to provide seamless pre-registration for appointments, complete insurance verification, and assist patients with out-of-pocket expenses and referrals.
Health CareHospitalMedical
Responsibilities
The expectation is that a complete and accurate pre-registration is done while maintaining HIPAA guidelines when contacting the patient via phone to verify the demographics and insurance information
The Financial Clearance Specialist will discuss any out-of-pocket expense along with any outstanding balance or pre-service payment with an attempt to collect on these services
If the patient is requesting payment options, the call can be transferred to department Financial Counselors
Performs insurance verification for various payers by utilizing passport and manual processes to ensure patients electronic medical record contains the accurate insurance information
For those insurances that cannot be processed through automated systems a phone call is placed to the insurance carrier to obtain eligibility and out-of-pocket expenses
Reviews and selects the appropriate insurance and visit indicator to ensure the correct insurance is billed for cadence appointments
For Hospital scheduled admission appointments the correct coverage would need to be prioritized and then listed on the HAR to ensure correct insurances are being billed
Reviews and or requests referrals as needed for future appointments by sending telephone encounters to Geisinger Primary Care Provider’s(PCP) and contacting outside PCP offices by fax to request referrals
Completes Medicare Secondary Payer Questionnaire for all patients meeting the criteria
Enters Financial Comments and Financial Clearance indicator in the appointment info tab in software system utilizing the financial abbreviations to advise staff what has been completed with the account
Information would consist of demographics status, insurance verification, referrals and any necessary forms that need to be signed by the patient
Codes utilized for documenting this process have been established by the department
For Hospital Scheduled Admissions documentation is completed in authorization and certification tab
Advises supervisor of unusual circumstances, situations or issues to get them resolved
Reviews and explains all necessary forms that require signatures from patients upon arrival such as Assignment of Benefits (AOB), Universal Auth (UA), Privacy Acknowledgment (PACK), Notice of Financial Responsibility (NOFR)
Responsible for meeting the goals set for productivity, quality and Point of Service (POS) Collections
Functions as a team member to organize and prioritize individual assigned work queues
Aids coworkers for all work queues to be completed to department timeframes
Makes suggestions for improvements to procedures or innovations to heighten patient experience
Qualification
Required
High School Diploma or Equivalent (GED)
Minimum of 1 year-Related work experience
Benefits
Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners
Company
Geisinger
Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.95MKey Investors
U.S. Department of Agriculture
2024-04-02Acquired
2024-01-10Grant· $0.95M
Leadership Team
Terry Gilliland
President & CEO
Anne Morse
Director, Division of Pediatric Sleep Medicine
Recent News
EIN Presswire
2025-12-08
2025-11-23
2025-11-03
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