Remote - Financial Clearance Coordinator

Under the direction of the Patient Access Services and Special Project Director, responsible for assisting patient with inquiries related to pre-service patient financial responsibility, propensity to pay scoring, patient billing policies, financial counseling, insurance eligibility, medical necessity, non-covered services and patient payment collection policies. The coordinator will be responsible for monitoring the pre-status accounts receivables and overall workflow of daily operations.

Responsibilities

Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time .

• Assists with staffing the Patient Financial Clearance Services Call Center, provides superior customer service to the service areas we support by communicating payor requirement and/or limitations.
• Researches state and federal regulations to ensure compliance standards are met within the department.
• Assists with communication of all Patient Access vendors and internal stakeholders to ensure quality and accuracy of the technology.
• Reviews phone system and other reports, analyzing data to identify potential stress points and recommend areas of improvement.
• Monitors and reports point of service collection opportunities at the system level
• Coordinates payer related issues for pre-service processes to the Managed Care Director.
• Researches and trends payer denials related to Pre-Access services and assists with the development of future edits for the quality assurance technology.
• Maintains the policies and procedures related to pre-service and point of service collection practices. Provides reasonable cash collection goals for the enterprise to meet or exceed the 75th percentile.
• Assists the Financial Clearance Manager with the supply and overtime budget to ensure the department stays within budget.
• Manages customer complaints and reports any necessary changes needed related to patient pre-service payment and pre-access services policies.
• Provides support to the Financial Clearance Manager for special projects and reporting
• Organizes all training needs for the Financial Clearance department with the training team and reports any special training needs
• Other duties as assigned

Education

• H.S. Diploma - Required
• Bachelor's Degree - Preferred

Work Experience

• 1 Year - Experience with pre-access services policies - Required

Licenses and Certifications

• Upon Hire

Travel Requirements

• Travel to off-site locations may be required. - Required

Qualifications

Essential Technical/Motor Skills

• Communicates clearly and concisely; good hand eye coordination

Interpersonal Skills

• Excellent oral and written communication skills.
• Maintains good rapport and professional relationship with caregivers.
• Demonstrates excellent customer service skills by maintaining friendly, courteous and helpful behaviors.

Essential Physical Requirements

• Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax and copier.
• Multi-skilled responsibilities require sitting, walking and standing.

Essential Mental Abilities

• Analyze and interpret data.
• Excellent short term and long term memory.
• Ability to perform multiple tasks and follow system policies and procedures.

Essential Sensory Requirements

• Visually assess paper and electronic data, hear telephone and converse

Exposure to Hazards

Other Skills and Abilities

• Demonstrated self-starter.
• Excellent oral, written, and interpersonal communication skills; excellent organizational skills.
• Ability to quickly assess and respond appropriately to emergency situations.
• Ability to comprehend medical terms.
• Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles.
• Knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software.
• Ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.