Financial Clearance Specialist I

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Assist critical areas of the organization that require financial clearance expertise

• Leverage data, research analysis, critical thinking, and problem-solving abilities to aid colleagues and leadership in fulfilling strategic goals

• Act as a peer influencer and may lead a project or project team

• Conduct financial clearance and collection for all pre-service accounts prior to the service date

• Acquire and confirm accurate insurance details, validate benefits, obtain authorizations, and gather pre-service payments

• Initiate the patient experience and billing process for hospital services

⛳️ Requirements

• Must have a thorough understanding of financial clearance and insurance verification procedures

• At least two (2) years of financial clearance experience in an acute care environment

• High School Diploma or equivalent required

• Two (2) to five (5) years of experience in areas such as scheduling, financial clearance, or patient access

• National certification in HFMA CRCR or NAHAM CHAA is required within one (1) year of hire

• Proficiency in Patient Registration/Patient Accounting systems and associated software is essential

• Extensive knowledge of scheduling with expertise in at least three (3) or more modalities and insurance verification processes, along with three (3) years of scheduling experience in an acute care setting

• Experience in complex facility-based ancillary testing across multiple facilities/states

• Strong understanding of third-party and government payer billing and reimbursement guidelines as well as departmental performance standards, policies, and procedures

• Associate's Degree is preferred

🏝️ Benefits

• Unlimited career advancement opportunities with one of the largest Catholic healthcare organizations in the nation.

• Competitive salary

• Paid time off and a comprehensive benefits package that begins on day one

• Benefits effective on day one, with no waiting period

• Retirement plans with employer matching

• Student loan forgiveness services available for staff and their families

• 18 days of PTO in your first year

• 25% discount available with Sprint, Verizon, or AT&T