• Financial Clearance Specialist

    Job ID
    2018-24681
    Employment Type
    full-time
    Hours Per Week
    40
    Onsite Work Schedule Details
    M-F 9 to 5:30pm
    Address
    527 W. South Street
    City
    Woodstock
    State
    IL
  • Overview

    The Financial Clearance Center (FCC) Specialist contacts insurance companies, physicians and patients to ensure accurate patient demographic and insurance information. Communicates directly with patients to inform them of their rights, review financial policies and collects patient liabilities. 

    Responsibilities

    • Verifies eligibility and insurance benefits using electronic and telephonic resources, communicating any identified insurance plan changes to billing managers for system updates.
    • Obtains pre-certifications, authorizations, and referrals to ensure managed care compliance for necessary appointments.
    • Fulfills notification requirements for inpatient admissions.
    • Contacts patients to request and obtain patient liabilities, establishing patient plans as requested.
    • Works closely with various departments throughout the health system, including Scheduling / Pre-Registration, Financial Counseling, Registration, Billing, Clinical Staff, and the Payment Discrepancy Unit.
    • Provides patient education concerning patient rights, regulatory requirements and financial policies.
    • Preparing oral/ written communications including periodic status reports
    • Documents notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification notification representatives.

    Qualifications

    • High school diploma or GED.
    • At least one year of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients.
    • Strong analytical skills to process admissions and appropriately calculate patient liability.
    • Demonstrated ability to navigate Internet Explorer and Microsoft Office.
    • Demonstrated experience communicating effectively with a customer and simplifying complex information.

    Preferred Skills

    • Some college courses preferred

    About nThrive

    Be Inspired. Ignite Change. Transform Health Care. 

    From Patient-to-PaymentSM, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities they serve. Our colleagues share a united passion to help health care organizations strengthen their financial position, which translates to accessible, quality care for all. This passion fuels our drive to innovate and participate in community outreach through the nThrive CARES program. Our colleagues are encouraged to think differently and empowered to make a lasting impact that ensures our health care providers, and our world, are healthy and productive.

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