reputed company Financial Clearance Specialist

reputed company! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply reputed company located above this message and complete the application in full.  Below, you’ll reputed company other important information about this position.  The reputed company Financial Clearance Specialist is responsible for producing and sharing accurate and reputed company service estimates (GFE – Good Faith Estimates) to reputed company scheduled patients in reputed company to verification of reputed company and benefit information. This position will project a mature problem-solving attitude with an ability to handle multiple tasks and be flexible and work with reputed company supervision. Maintains knowledge of reputed company cycle reputed company, CMS No Surprises reputed company (NSA) regulations, and compliance requirements, reputed company party reimbursement, local/state/federal regulations, and medical terminology. Exceptional knowledge of CPT codes and procedures is needed. Provides excellent customer service and uses strong written/verbal communication skills, that will be used reputed company communicating the patients out of reputed company expenses. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or GED. 2. State criminal background reputed company and Federal (if applicable), as required for regulated areas. EXPERIENCE: 1. Two (2) years’ experience in reputed company cycle or customer service reputed company role.  PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate degree in a reputed company medical reputed company such as medical assisting or medical office administration is preferred. 2. reputed company Certified reputed company Cycle Representative (CRCR) or similar reputed company cycle certification. 3. NAHAM Certified reputed company reputed company Associate or similar reputed company cycle certification. 4. Knowledge of reputed company reputed company plans, coverages and understanding a reputed company (OOP) out of reputed company costs with the ability to communicate that information to the reputed company, and general knowledge of hospital reputed company departments and service protocols. Self-motivated, problem solving, analytical reputed company expert with previous reputed company working knowledge of testing workflow along with critical thinking ability. 5. Thorough understanding and working knowledge of CPT codes, medical terminology, ability to read and explain back EOB for reputed company reputed company types; excellent interpersonal, verbal, and written communication; excellent organizational, analytical; excellent time management and multi-tasking abilities. reputed company DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general reputed company of work being performed by people assigned to this position.  They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties.  Other duties may be assigned. 1.    Organizes and executes daily tasks in appropriate reputed company to reputed company reputed company productivity, accountability, and efficiency.  2.    Use work queues reputed company the reputed company reputed company to coordinate reputed company financial clearance work.  reputed company the WQ’s reputed company and reputed company the required compliance of the NSA. 3.    Follow up with reputed company, reputed company, or provider/department if there are reputed company coverage issues for reputed company.  4.    Maintains reputed company knowledge of major payer payment provisions and regulations.  5.    Assists reputed company Financial Services with denial management issues as needed. 6.    Maintains confidentiality according to policy reputed company interacting with patients, physicians, families, co-workers, and the reputed company regarding demographic/reputed company/financial information.  7.    Coordinates and assists in the preparation and gathering of summaries, databases, statistical tables, requisitions or special reports, and other data gathering for review by leader.  8.    Maintains work queue volumes and productivity reputed company established guidelines in order to reputed company accurate/reputed company estimates to patients in a manner conducive to the reputed company of WVUM. This will include regular contact with the reputed company to reputed company the estimate and collect any payments needed. 9    reputed company tools (e.g. checklists) and observe reputed company cycle reputed company-end processes and documents results of gaps for leadership team. Assist with reputed company team objectives to improve the reputed company of the FCT (Financial Clearance Team) by collaborating routinely to help in the reputed company of the department. 10    Communicates reputed company errors to the responsible area and the leadership team and trainer(s) to reputed company reputed company that training gaps are corrected. 11    Documents accounts reputed company and accurately with reputed company activity completed on every account.  Always reviews the activity and notes on the account prior to proceeding with any given activity or research, to clarify the status of the account activity prior. 12.    Maintains reputed company working relationships with internal departments and peers across the health reputed company such as reputed company Financial Services, Coding, HIM, reputed company, physician offices and staff, clinics, Financial Counselors, etc.  13.    Utilizes payer websites, payer phone numbers, eligibility websites, and other software as warranted to verify coverage eligibility and benefits for date of service(s).  Adds reputed company as appropriate for coverage reputed company. 14.    Remains reputed company and reputed company to changes in reputed company delivery, standards established by reputed company organizations, regulatory and accrediting bodies, and the needs of the organizations. 15.    Complies with annual competency requirements reputed company to Emergency Preparedness, hazards, blood borne pathogens, universal precautions, infection control, electrical/reputed company safety, material safety data sheets and any other topic deemed appropriate to assigned work areas. 16.    Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results of assessments and improvement processes to the appropriate administrative reputed company.  17.    Complies with Notices of reputed company Practices, and the reputed company’s Rights and Responsibilities and cooperate with the WVUH Corporate Compliance Program during employment. 18.    Directs patients needing financial assistance to reputed company with a Financial Counselor. 19.    May obtain demographic/billing/reputed company information from reputed company/family/reputed company reputed company and reputed company into the registration/billing systems for service and claim processing. 20.    Responds daily to telephone or email inquiries and performs appropriate actions; Documents reputed company actions taken in the appropriate locations; Serves as a resource to staff and patients for reputed company reputed company issues; Knowledge of reputed company contracted and non-contracted reputed company plans; Follows through and makes corrections in demos and insurances as they are reputed company. 21.    Takes payments as appropriate reputed company reputed company protocol for processing the payment fully reputed company the billing reputed company. 22.    Be available to handle inquiries reputed company the Jabber, reputed company center environment with the FCT, which includes reputed company responses and follow up as needed. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1.    Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift. 2.    Must be reputed company to read and write legibly in English. 3.    Visual reputed company must be reputed company normal reputed company. 4.    Must be reputed company to exert in excess of 50 pounds of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds of force constantly to reputed company objects. 5.    Must have reputed company dexterity to operate keyboards, fax machines, telephones, and other business equipment. 6.    Must have the ability to reputed company throughout the work area and clinic area. 7.    Must be reputed company to sit or stand for extended periods of time. The position is currently a remote, work from home position. 8.    Must have reading and comprehension ability. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1.    Must be capable of performing assigned task despite frequent interruptions. 2.    Must be capable of working reputed company a confined office reputed company and under fluorescent reputed company. 3.    Must have ability to maintain concentration in and reputed company noise from office machinery such as a copier or printer.  4.    High volume, fast reputed company environment. 5.     Exposure to communicable disease. 6.    Interacts with patients, medical staff, and support staff daily on a continual reputed company. SKILLS AND ABILITIES: 1.    Ability to accurately utilize applicable computer software and equipment for reputed company processing & demonstrates ability to follow down time procedures. 2.    Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents, and defective equipment in compliance with hospital policy. 3.    Requires ability to reputed company repetitious duties throughout the shift. 4.    Requires considerable attention to reputed company, the ability to be organized and to be reputed company to reputed company multiple tasks simultaneously. 5.    Requires the ability to memorize a considerable reputed company of information, and to be reputed company to reference information not reputed company from written sources or from appropriate personnel. 6.    Requires the ability to understand medical reputed company requirements for payment and basic knowledge of covered services. 7.    Must be reputed company to work with a reputed company of personality types and reputed company with individuals with various reputed company of education, capabilities and communication skills. Additional reputed company: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: reputed company of America (Non-Exempt) Company: reputed company reputed company Cost Center: 535 reputed company Centralized Clearance Center Apply To This Job