Financial Clearance Specialist

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Job description

Financial Clearance Specialist

Requisition #: 404647

Location: Johns Hopkins Health System, Baltimore, MD 21201

Category: Finance

Work Shift: Day Shift

Work Week: Full Time

Weekend Work Required: No

Date Posted: Nov. 24, 2021

Join an amazing global healthcare organization!

Excellent compensation package!

Awesome benefits, including dependent tuition reimbursement!

Requisition #: 404647

Location:

3910 Keswick Rd.

Baltimore, MD 21211

Shift:

Full Time (40 hours)

Day Shift; 8:30am - 5:00pm

Weekends Required: No

Non-Exempt

Position Summary:

Reporting to the Supervisor, Financial Clearance, this position will be responsible for processing administrative and financial components of financial clearance including but not limited to validation of insurance/benefits, medical necessity validation, processing routine and complex pre-certification, prior-authorization, and patient financial information. In addition, this role possesses the skill and knowledge for documenting pertinent information into appropriate systems and knows when escalation is required and is able to identify and triage routine financial clearance work. The position requires integral communication with insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal customer experience.

Education:

Requires High School Diploma or equivalent.

Licensure/Certification:

Certification on appropriate registration system is required during the 90-day introductory period.

Successful completion of departmental training program and all related competency assessments.

Coding Certification is a plus.

Required Work Experience:

Minimum 2-5 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience.

Knowledge, Skills and Abilities:

Knowledge of medical and insurance terminology

Knowledge of medical insurance plans; especially manage care plans

Requires ability to understand, interpret, evaluate, and resolve basic customer service issues

Knowledge of the Johns Hopkins Health System or other Healthcare related policies and procedures, preferred

ntermediate in Microsoft Office

Requires excellent verbal, communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, superiors, patients, members of the healthcare team and external agencies

Requires intermediate analytical skills to resolve problems and provide patient and referring physicians with information and assistance with financial clearance issues

Ability to perform with attention to detail and accuracy

Ability to multitask and prioritize work

Requires high level of professionalism in both appearance and presentation

Ability to perform with accuracy and attention to detail for meeting payer-imposed deadlines on a daily basis

Requires communication skills to clearly and concisely communicate verbally and in writing with peers, superiors, payers, physicians, ancillary departments, etc.

Ability to evaluate own workflows and Johns Hopkins Medicine processes and appropriately recommends process improvements

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

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