Coordinator - Financial Clearance

Job Location and Role Details Primary City/State: Network Support Services Building 1 Category: Finance Shift: Day Department: Pre-Registration Great care starts with great people. (Like you.) At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area. Responsibilities Job Summary Under Pre-Services/Pre-Registration Leadership, this position performs financial clearance functions for hospital ancillary outpatient appointments. The position is responsible for denial prevention and protecting and contributing to the organization’s financial goals by obtaining and documenting patients’ insurance benefits and eligibility status, initiating and securing prior authorization with payers, and by validating, analyzing, and accurately interpreting medical necessity results by reviewing payer specific medical policies or criteria, utilizing the web-based medical necessity software. The position is responsible to create Commercial Waivers and Medicare ABN’s, when necessary, and contacts patients to inform them of their insurance benefits and authorization status applicable to their scheduled service(s), or to discuss any issues with eligibility, medical necessity, or prior authorization. The position works closely with referring physician offices and the hospital departments where patient is scheduled, to minimize denials and insure authorizations are obtained in a timely manner. Detailed, accurate, and timely documentation of applicable insurance benefits #J-18808-Ljbffr 70 HonorHealth Support Services