About The Position

Mon-Fri 9a-5:30p Job Responsibilities: Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases.

Requirements

  • Minimum of five (5) years of financial clearance / authorization experience in an acute care setting.
  • Experienced in complex facility based ancillary testing across multiple facilities/states.
  • Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling.
  • Minimum Qualifications High School Diploma or equivalent.
  • Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
  • 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.

Nice To Haves

  • Associates Degree, preferred.
  • Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting
  • Experience in complex facility based ancillary testing across multiple facilities/states
  • Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Responsibilities

  • processing financial clearance for complex services including surgical services
  • processing financial clearance for observation services
  • processing financial clearance for in-house cases
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