Financial Clearance Specialist

Financial Clearance Specialist

Position Summary:

Responsible for obtaining and reviewing clinical procedure orders and ensuring ordered procedures are scheduled appropriately. Works directly with patients, provider clinics, insurance companies, and government agencies gathering relevant information for upcoming testing or procedure visits. Works with patients and patient families in order to gather necessary information and establish communication of financial responsibility. Responsible for all administrative and financial components of financial clearance.

Responsibilities:

• Collects demographic, insurance, and financial information from incoming patients prior to delivery of services
• Identifies and verifies active payer sources for patients
• May perform scheduling functionality in collaboration with appropriate service line resource utilization
• May assist in point of service admissions processes
• Obtains any pre-authorizations / pre-certifies services to secure payer payment obligation
• May reviews claims or records to ensure accurate completion or coding in an effort to reduce reimbursement denials
• Calculates, communicates, and attempts to collect patient financial liability as assigned by patient's insurance policy
• Educates patients on insurance policy limitations, self-pay obligation, payment alternatives, and assists patient in navigating the financial assistance programs offered through the Business Office
• Communicate with patients, physicians, payers, families and co-workers in person and on telephone
• Performs other related duties as assigned
• Familiar with standard concepts, practices, and procedures within the field
• Regular and predictable attendance is an essential job function
• Competent to meet age specific needs of the unit assigned

Requirements and Minimum Qualifications:

• High school diploma preferred
• Minimum of 1 to 3 years' experience in Patient Registrar, Medical Billing Office or Insurance required
• Knowledge of ICD10, CPT4, and HCPCS codes; and Medical Terminology required

Working Conditions:

• Must be able to maintain a sitting position
• Typical equipment used in an office and clinical job
• Must be able to stoop, crouch or bend
• Remote eligible

About Kootenai Health

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:
• Comprehensive medical coverage, including fully employer-paid options for eligible full-time employees, plus affordable plans for part-time staff. Benefits begin on the 1st of the month following 30 days of employment.
• Dental, vision, life, and pet insurance, with telemedicine and wellbeing resources available to all employees
• Tuition assistance after 90 days to support your professional growth
• Retirement plans with pre-tax and Roth options and employer matching from 3%-6%
• Competitive pay, plus night, weekend, and PRN shift differentials
• Award-winning wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps
• PerkSpot discounts providing access to thousands of exclusive deals in over 25 categories
• And an employee referral bonus program

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!

Apply today!

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.