Unknown Company is hiring a Financial Clearance Spec-REMOTE

Are you a current UMass Memorial Health healthcare professional? Apply now via our online platform. Exemption Status: Non-Exempt Compensation Range: $20.94 - $33.59 Final compensation may differ based on individual qualifications, experience, skills, and organizational equity considerations. Work Schedule: Monday through Friday Hours: 8a-4:30pm Shift: 1 - Day Shift, 8 Hours Total Weekly Hours: 40 Cost Center: 99940 - 5479 Financial Clearance PAC Union Representation: SHARE (State Healthcare and Research Employees) Potential signing bonus availability will be confirmed during interview process. Everyone Is a Caregiver At UMass Memorial Health, every team member embodies caregiving principles. Our commitment to exceptional patient care, academic innovation, and cutting-edge research establishes us as Central Massachusetts' premier health system. With over 20,000 dedicated professionals, we collaborate seamlessly to pursue healing for patients, community, and colleagues. Responsible for comprehensive patient information verification for scheduled medical services. Duties encompass demographic, financial, and insurance data confirmation. Collects patient financial obligations including co-pays, deductibles, coinsurances, and prepayments. Generates service cost estimates, processes patient financial liability payments, and resolves insurance complexities. Primary focus involves collecting patient financial responsibilities before service delivery and ensuring smooth patient access. Major Responsibilities: 1. Initiates insurance company interactions for eligibility verification and account receivable collections. 2. Accurately calculates patient financial responsibilities through precise demographic information gathering. 3. Processes patient payments comprehensively. 4. Ensures pre-service authorization and referral documentation. 5. Strategically refers patients to Financial Counselors or Business Office. 6. Manages appointment rescheduling under departmental guidance. 7. Documents financial clearance status systematically. 8. Demonstrates thorough understanding of departmental policies. 9. Assesses patient coverage gaps and potential financial exposures. 10. Exhibits adaptability in dynamic work environments. 11. Performs supplementary duties supporting departmental effectiveness. Position Qualifications: Education Requirements: - Minimum High School Diploma/GED - Business concentration preferred - Associate degree or higher recommended Experience/Skills: - Minimum 4+ years business office experience - Healthcare environment expertise required - Personal computer proficiency - Hospital system familiarity - Third-party collections knowledge preferred Physical Demands: - Standing: 1/3 time - Walking: 1/3 time - Sitting: 2/3 time - Communication: 2/3 time - Manual dexterity: 2/3 time - Lifting capacity: Up to 10 pounds (1/3 time) UMass Memorial Health is an equal opportunity employer committed to diversity, respect, and inclusion. We encourage applications from individuals with varied experiences and backgrounds. Accessibility accommodations available. Contact [email protected] for assistance.