BrightSpring Health Services · 1 month ago
Financial Clearance Coordinator
Davidson, NC
Full-time
Onsite
New Grad, Entry LevelBrightSpring Health Services is a provider of home- and community-based pharmacy and health solutions. The Financial Clearance Coordinator is responsible for ensuring that clients have accurate demographic and payer information, and for conducting financial conversations with clients regarding their benefits and payment terms.
Health CarePersonal HealthPharmaceutical
Responsibilities
Admission into EHR/EMR for assigned lines of business
Insurance maintenance is current and accurate, as provided by operations
Insurance payer knowledge and accurate completion of IVQ + Obtaining accurate benefit information as provided by payer
Identification of payer sources for our private pay or under-insured population
Knowledgeable of programs in which BrightSpring participates
Hardship Programs
Financial Assistance Programs
Health Care Credit extension
Ensures payment plan or program meets repayment guidelines set by BrightSpring Health Services Revenue Cycle policies
Ensures all CDEs(Critical Data Elements) are identified and entered correctly in EMR/HER (as applicable by line of business)
Works closely with Operations Leaders and Revenue Cycle Leaders (specificity by line of business): + Communicates with Revenue Cycle leaders and Operations leaders any anticipated issues or loss of revenue due to client inability to pay or loss of eligibility + Understands and communicates SVP increases and decreases (applicable lines of business)
While completing the IVQ, identifies client eligibility and insurance verification issues using various modes of identification: + Way Star + State Medicaid Website + Commercial Payer Website + Phone call to Payer
Conduct financial conversations with clients to provide benefit explanations and analysis of deductibles, etc. to determine terms of payment for client liability within the parameters of corporate policy, when applicable
Ensures the playbook for Financial Clearance is accurate and up to date with all processes and programs
High knowledge level of commercial and government payers by line of business: + Out of pocket client responsibility + Contracted rates both in network and out of network + Benefit level detail understanding of above rates
Tied to the following Key Performance Indicator to maintain and improve revenue for the organization: + Productivity standards completing 25 tickets/day (individual goal, depending on line of business) + Quality standard of 95% or greater (individual goal) + (Future in 2025) Rejection rate and resolution (individual goal) + Ticket SLA violation goal of 99% or greater (team goal)
Qualification
Required
Bachelor's Degree or equivalent of school and experience, preferred
Medical terminology
Financial Clearance and collection experience
Front Revenue Cycle experience either in Patient Access or Patient Financial Services
Proven experience with conflict resolution
Ability to use critical thinking skills to identify and mitigate revenue risk to BrightSpring Health
Self-directed work and excellent time management skills
Excellent communication skills both verbal and written
Knowledge of government and commercial payer requirements
Ability to demonstrate our company Legacy standards
Strong attention to detail and accuracy
Strong time management skills and ability to meet set deadlines
Ability to multi-task and show flexibility as daily priorities arise and change
Minimum travel required
Company
BrightSpring Health Services
BrightSpring Health Services provides clinical, nonclinical and pharmacy and other ancillary care services.
Founded in 1974
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$2.88BKey Investors
Kohlberg Kravis Roberts
2025-06-10Post Ipo Secondary· $304.5M
2024-12-11Post Ipo Debt· $2.55B
2024-09-13Post Ipo Secondary· $30M
Leadership Team
Susan Sender
Chief Clinical Officer
Recent News
2025-12-13
Home Health Care News
2025-11-20
Company data provided by crunchbase