Financial Clearance Coordinator

Job Description

Networks Connect is conducting a search on behalf of our client, a prominent Healthcare system, for an experienced Financial Clearance Coordinator in Silver Spring, MD. You will be a vital member of the Patient Access team, reporting directly to the Manager of Financial Clearance. In this role, you will provide essential administrative support and manage patient access workflows, including generating patient estimates for clinical services. You will work closely with physicians, payers, and patients to ensure comprehensive audits of patient data and financial responsibilities before care is provided.

Key Responsibilities:

• Patient Estimates: Generate accurate patient estimates for assigned clinical services and communicate costs to families and patients promptly via inbound and outbound calls.
• Insurance Verification: Verify insurance eligibility and benefits using real-time tools, payer websites, and phone calls; document verification responses within the registration pathway.
• Authorization Management: Validate authorization status, communicate with ordering physicians’ offices, and document authorization information in the registration pathway.
• Financial Assistance: Identify patients requiring payment assistance and facilitate communication with the Financial Information Center (FIC).
• Data Analysis: Conduct data deep dives to identify trends, root causes, and corrective actions; present findings to leadership in monthly meetings and reports.
• Audit and Compliance: Perform audits on registration staff performance and price estimations; collaborate with departments to reduce first pass denials and ensure compliance.
• Staff Development: Provide training and develop educational tools to improve staff productivity and compliance with standard processes.
• Special Projects: Lead and participate in special projects impacting the revenue cycle, supporting business decisions through research and analysis.

Qualifications:

Education: Bachelor’s degree in Research Administration, Business Administration, Finance, Hospital Management, or Healthcare Administration preferred.

Experience: Minimum of 4 years in healthcare business operations, patient access, and revenue cycle. Auditing experience and root cause analysis required. Proficiency in Microsoft Office products.

Skills:

• Superior customer service skills and professional etiquette
• Strong written, verbal, interpersonal, and telephone skills
• Attention to detail and ability to multitask in complex situations.
• Knowledge of confidentiality guidelines, insurance requirements, and CNMC policies
• Previous experience with Cerner, Experian, or related software programs and EMRs preferred.
• Successful completion of all Patient Access training assessments

Functional Accountabilities:

• Generate patient estimates and inform families/patients of costs.
• Verify insurance eligibility and document responses.
• Validate authorization status and communicate with physicians’ offices.
• Facilitate payment assistance communication with FIC.
• Conduct data analysis and present outcomes to leadership.
• Perform audits and collaborate with departments to reduce denials.
• Review and audit price estimations.
• Provide training and develop educational tools.
• Lead and participate in revenue cycle-related projects.

Organizational Accountabilities:

• Customer Service: Anticipate and respond to customer needs, follow up until needs are met.
• Teamwork: Demonstrate collaborative and respectful behavior, partner with team members to achieve goals.
• Performance Improvement: Contribute to a positive work environment, identify opportunities to improve processes.
• Cost Management: Use resources efficiently, search for cost-effective solutions.
• Safety: Promote safety for patients, families, visitors, and co-workers.

Join and play a critical role in ensuring our client’s patients receive the best financial clearance support. Apply today to become part of their dedicated team!

Earnings

$60,000 - $75,000 salary

Category

Revenue Cycle