Financial Clearance Specialist

2 days ago

Baltimore, Maryland, United States Johns Hopkins Health System Full time $83 - $137 per year

POSITIONSUMMARY:

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 precertification, 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.

Contributes to the success of a high-performing shared services organization by helping to drive the long-term Johns Hopkins Medicine Shared

Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized.

Hours: 40 hours/Day

Location: Telecommute

Education: Requires High School Diploma or equivalent

Knowledge:

  • Knowledge of medical and insurance terminology
  • Maternal-fetal medicine (MFM) authorization experience is a plus
  • Knowledge of medical insurance plans, especially managed care plans
  • Requires the 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

Skills:

  • Intermediate 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

Certifications and Licensure:

  • Required Certification on appropriate registration system is required during the 90-day introductory period
  • Coding Certification is a plus
  • Successful completion of departmental training program and all related competency assessments etc.

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

Salary Range: Minimum 20.22/hour - Maximum 33.38/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.

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.

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

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