Fin Clearance Spec I

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POSITION SUMMARY:

Financial Clearance Specialist is responsible for all administrative and financial components of financial clearance. Financial Clearance components include but are not limited to eligibility validation, benefits verification, authorization, calculating patient responsibility, explaining financial responsibility to the patient's family. Responsible for documenting pertinent information into appropriate systems. Requires integral communication with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience. Level I typically is assigned to Medical Services, Rehab Services, or Audiology Services.

Full Time/40 Hours Per Week

Location: St. Petersburg, FL

KEY ACCOUNTABILITIES:

1. Ensures all scheduled patients are financially cleared with health plans prior to the date of service to protect the financial well-bring of the organization.
2. Validates and documents patient eligibility and ensures that scheduled services are a Covered Benefit to ensure patients are eligible for insurance coverage.
3. Ensures all scheduled services are authorized and appropriate notification and/or referral is obtained prior to the date of service to ensure payment for services.
4. Accurately calculates patient responsibility or patient estimate using appropriate tools; communicates financial responsibility to patient/guarantor prior to the date of service; attempts to collect any patient responsibility which may include prior balances; provides payment options and/or financial assistance screening (if necessary); and works with families to determine which payment arrangement works best for their particular situation in order to provide care to our families.
5. Provides an excellent patient-centered experience to physicians, coworkers, patients and families and all other internal and external customers to provide a positive experience with JHACH.

QUALIFICATIONS:

• A minimum of a High School diploma, GED, Certificate of Completion or equivalent achievement
• 2 years of healthcare experience in scheduling, registration, authorizations, business office, health plan, physician practice, surgery center or hospital in a business capacity.
• 1-2 years of experience working with health plan and payer authorization requirements and clinical policies.
• Comprehensive knowledge of third party payer requirements, computer literacy and customer service skills.
• Working knowledge of CMS and other governmental programs.

Salary Range: Minimum 15.82 per hour - Maximum 25.31 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

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Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

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