Financial Clearance Specialist

2 weeks ago


West Bridgewater, Massachusetts, United States Brockton Hospital Full time
Financial Clearance Specialist

Brockton Hospital is seeking a skilled Financial Clearance Specialist to join our team in West Bridgewater, MA. As a key member of our financial operations team, you will play a critical role in ensuring the accurate and timely reimbursement of services provided to our patients.

Key Responsibilities:
  • Verify patient demographic and contact information to ensure accurate financial clearance
  • Access and review patient accounts to determine financial clearance status
  • Take action on services without financial clearance
  • Collect and validate order-related information, including office visits, radiology, and surgical orders
  • Follow up with ordering providers to verify CPT codes
  • Process referrals and authorizations, ensuring proper tracking and redirection
  • Identify non-covered services and prepare Advance Notice Beneficiary (ABN) or waiver for registration team
  • Analyze clinical documentation to support ordered procedures and submit precertification requests
  • Escalate challenging accounts to provider representatives to ensure timely approval
Requirements:
  • High school graduate or equivalent
  • At least two years of experience in a healthcare setting, with knowledge of insurance coverage, reimbursement, and medical terminology
  • Experience providing customer service and processing electronic demographic, financial, or business-related information

Brockton Hospital offers a comprehensive benefits package, including medical, dental, and vision insurance, life and disability insurance, retirement savings plan, employee assistance program, and tuition reimbursement. If you are a motivated and detail-oriented individual with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity.



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