Saint Alphonsus · 4 days ago
Financial Clearance Specialist full-time - remote
United States
Full-time
Remote
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, conducting insurance eligibility checks, and ensuring financial clearance for service delivery.
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 required
At least two (2) years of experience in financial clearance
National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire
Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems
Comprehensive knowledge of financial clearance and insurance verification processes with at least two (2) years of financial clearance experience in an acute care setting
Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities
Excellent problem-solving skills are essential
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
Preferred
Associate degree preferred
Data entry skills (50-60 keystrokes per minute)
Completion of regulatory/mandatory certifications and skills validation competencies preferred
Working knowledge of medical terminology desirable
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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