Financial Clearance Specialist - Oncology

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Under the general supervision of the Financial Clearance Center (FCC) Supervisor. Contacts insurance companies, physicians, and patients to ensure that accurate patient demographic and insurance information is collected, and that a financial clearance determination can be made. Informs patients of their rights, financial policies, and collects patient liabilities. Meets department staffing needs which include weekends and holidays.

We are looking to hire 4 – 6 people for this role.

DUTIES AND RESPONSIBILITIES:

• Provides excellent customer service to all parties by responding to customer requests/ issues in a proactive and timely manner. Displays Centegra Service Excellence standards. Displays positive intra/ inter-departmental communication skills.
• Daily responsibilities include:
• Verifying eligibility and benefits using electronic and telephonic resources
• Obtaining pre-certifications, authorizations, and referrals to ensure managed care compliance for necessary appointments
• Fulfilling notification requirements for inpatient admits
• Contacting patients to request and obtain monies due, including monies due from previous visits, and issuing receipts
• Establishing payment plans for patients unable to pay monies due in full
• Entering the information gathered into the computer system
• Performing any other function deemed necessary to perform financial clearance
• Applying critical thinking skills to identify and resolve problems proactively to maximize reimbursement
• Exhausting all alternatives when attempting to make a financial clearance determination
• Other responsibilities may include:
• Working closely with various departments throughout the health system, including Scheduling / Pre-Registration, Financial Counseling, Registration, Billing, Clinical Staff, and the Payment Discrepancy Unit
• Identifying and communicating insurance plan updates to CMS Billing Managers for input into the insurance master
• Providing patient education concerning patient rights, regulatory requirements and financial policies
• Exchanging necessary information with the physician offices, hospital, nursing homes, and other departments to insure a complete and accurate registration record
• Preparing oral/ written communications including periodic status reports
• Answering telephones, handling calls or directing calls to appropriate area. Performing other related clerical duties
• Documenting notes in computer system regarding all conversations with patients, insurance company representatives, pre-certification notification representatives, and results of collection efforts
• Performing other duties assigned by Supervisor

QUALIFICATIONS:

• Read and write, perform arithmetic calculations, and possess excellent interviewing and communication skills. Type 60 wpm and possess computer literacy.
• Hold high school diploma or equivalent required, some college courses preferred.
• Have one year service-related experience required. Three years service-related experience preferred. Approximately one to two years experience registering / billing in a medical setting or insurance claims processing preferred. Medical terminology and/or insurance terminology preferred.
• Strong interpersonal skills necessary in order to effectively communicate with all customers (patients, visitors, hospital staff and others).
• Ability to handle, diffuse, and resolve difficult situations, including customer complaints.
• Team oriented to support Centegra team members as needed.
• Flexibility and resiliency to adapt to diverse patient dynamics.
• Highly motivated and goal-oriented to meet performance requirements, including ability to handle multiple tasks simultaneously and to prioritize worklists appropriately.
• Strong analytical skills to process admissions and appropriately calculate patient shares.
• Self-motivated and strong organizational skills; ability to handle multiple tasks.
• Physical ability to perform functional requirements as detailed.

Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $19.00 - $21.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.

SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

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