Nebraska Methodist College · 15 hours ago
UR Financial Clearance Specialist
Methodist Hospital - Omaha, NE
Full-time
Onsite
New Grad, Entry Level
0+ years expNebraska Methodist College is part of the Nebraska Methodist Health System, which focuses on providing exceptional care to the communities. The UR Financial Clearance Specialist is responsible for submitting insurance notifications and assisting with verification and authorization for payment of hospital services.
Higher Education
Responsibilities
Complete notification of patient admission following payer specific guidelines
Use websites for notification when available
Collect contact information for clinical review in electronic health record
Provides diagnosis and demographic information as requested by payers
Complete telephonic notification and online notification for failed UHC 278 transfers
Ensure all payer sources (commercial and governmental) are verified as eligible
Complete verification process for all patient insurance if not complete
Investigate and correct all application alerts
Ensure payment order for payers is correct
Confirm payer order is correct
Prioritize notifications
Use daily census to ensure all cases requiring notification are completed within 24 hours of admission
Prioritizes notification of payers, using available contact methods
Monitor reports to identify patients with change of status requiring notification
Utilize online systems to complete notification and precertification
Document complete and accurate information in Case Management software using established abbreviations
Communicate directly with UR nurse unique or unusual notification requirements
Update insurance reference guide regularly based on changes in payer requirements
Deliver required notification documents to patients in a timely manner based on payer requirements
Adhere to safety and Infection Control guidelines
Reports unsafe conditions or accidents immediately
Maintain a safe working environment
Follow established guidelines for contact with patients in isolation
Qualification
Required
Associates degree in a health care related field required
Healthcare/ insurance experience may be considered in lieu of educational requirement
Skill with written and verbal communication
Skill working effectively with other employees, patients and external parties
Skill using Microsoft Office Suite and other specialized programs
Knowledge of medical terminology
Ability to organize, perform and track multiple tasks accurately
Ability to complete work accurately and within established timeframes
Ability to work independently and in a team
Ability to adapt to changing priorities
Preferred
Minimum six months of insurance notification and/or authorization experience preferred
Experience with online payer notification programs preferred
Benefits
Competitive pay
Excellent benefits
Great work environment
Company
Nebraska Methodist College
Established in 1891, Nebraska Methodist College is a private, fully accredited nursing and healthcare professions college and an affiliate of Methodist Health System.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sarah Murphy
Chief Student Officer & Dean of Students
Company data provided by crunchbase