Financial Clearance Coordinator - Prosthetics and Orthotics, Full-time

---

Job description

About Shirley Ryan AbilityLab

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you will be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together.

General Summary

The Financial Clearance Coordinator will determine eligibility for third party payor benefits and obtain initial financial authorization when required. Notifies patient, family members, and clinical area of third party coverage authorization decisions pertaining to reimbursement of patient care. Identifies alternative payment options and refers appropriate cases to the Care Manager.

The Financial Clearance Coordinator will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.

The Financial Clearance Coordinator will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.

Job Requirements:

Principal Responsibilities

The Financial Clearance Coordinator:

1. Researches and verifies financial coverage for planned services prior to patient scheduled appointments.
2. Determines whether planned services are covered by patients' benefit plans and communicates limitations or denials to patient and families.
3. Completes authorization forms including documentation pertaining to pre-certification, plan authorization, and/or obtaining primary care physician referrals.
4. Researches and Discusses financial options with patients and families for services not reimbursable by a third party payors.
5. Refers cases to outpatient Care Managers or Social Workers when patients are unable to pay for services not covered under a third party payor
6. Forwards completed forms and documentation to appropriate internal departments including Patient Financial Services.
7. Documents financial clearance information in Shirley Ryan AbilityLab Information System, updating demographic, insurance, funding and medical information, as needed.
8. Communicates information to the outpatient clinical team or SRAlab inpatient Care Managers as needed.
9. Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
   

Reporting Relationships

1. Reports directly to the Supervisor, Financial Clearance

Knowledge, Skills & Abilities Required

1. Minimum educational requirements high school degree or equivalent, Associate College degree preferred.
2. Prior registration/preregistration experience or related experience.
3. Knowledge of health care delivery services and the field of rehabilitation medicine preferred.
4. Working knowledge of Windows operating environment and Microsoft Office software applications.
5. Strong customer service and interpersonal skills necessary to interact with all levels of Institute personnel, physicians, insurance representatives, and other internal and external customers.
6. Analytical skills necessary to ensure complete and accurate documents and forms.

Working Conditions

1. Normal office environment with little or no exposure to dust or extreme temperature.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Shirley Ryan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

To apply for this position, please click "APPLY NOW"
and you will be sent to our online application.
We ask you to please take a few minutes to fill out the application.
We look forward to speaking with you soon.