At Home Care Hospice ยท 1 month ago
Financial Clearance Coordinator
US-NC-DAVIDSON
Full-time
Onsite
New Grad, Entry LevelBrightSpring Health Services is a provider of home- and community-based health solutions. The Financial Clearance Coordinator is responsible for ensuring accurate client information and insurance verification, as well as maintaining compliance with financial policies and procedures.
Health CareWellness
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
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:
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:
Tied to the following Key Performance Indicator to maintain and improve revenue for the organization
Qualification
Required
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
Preferred
Bachelor's Degree or equivalent of school and experience
Company
At Home Care Hospice
AT Home Care is owned and operated by caring individuals with over 40 years of Health Care and Clinical expertise, and is the largest independent home health care agency in Virginia.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase