Financial Clearance Specialist
1 month ago
I. General Summary
Under the general supervision of the Director, Clinical Reimbursement and the direct supervision of the Assistant Director, Patient Administrative Services, evaluates financial status and completes insurance verification and authorization for admissions to the acute care hospital and the psychiatric units in accordance with the UMMS policies and procedures. These admissions include those emergency admits and elective pre-certification for future planned admits.
II. Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Accepts reservations for future admissions from physicians’ offices and physician teams. Receives this information via the hard copy “white card: or via the IDX system.
Resolves incomplete information for the planned admits by contacting the physician’s office for the required additional insurance or medical information that is requested by the third party payers.
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