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Financial Clearance Specialist, 40 Hours

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
Massachusetts (USA), United States

Offer summary

Qualifications:

Minimum High School Diploma or GED, Four years experience in a business office setting.

Key responsabilities:

  • Contact insurance companies for eligibility
  • Process patient payments and financial inquiries
UMass Memorial Medical Center logo
UMass Memorial Medical Center XLarge https://www.ummhealth.org/umass-memorial-medical-center
10001 Employees
See more UMass Memorial Medical Center offers

Job description

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Your missions

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Non-Exempt

Schedule Details:

Monday through Friday

Scheduled Hours:

8:30a to 5:00p

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5478 Financial Clearance

Union:

SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

We are offering a $3K sign-on bonus. Please discuss this with Talent Acquisition during the interview process.

I. Major Responsibilities:
1. Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable.
2. Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved.
3. Receives and processes patient payments.
4. Ensures pre-certification authorization and or referral is in placement prior to service being rendered.
5. Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient.
 

II. Position Qualifications:

License/Certification/Education:
Required:
1. Minimum High School Diploma, or G.E.D., business concentration preferred.
Preferred:

1. Associate degree, or higher, preferred.

Experience/Skills:
Required:
1. Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
2. Prior experience in a healthcare environment required.  
 
Preferred:
1. Working knowledge of personal computers and business office applications preferred.
2. Familiarity with hospital computer systems is a plus.
3. Knowledge of third party collections and reimbursement preferred.


2. Walk - 1/3
3. Sit - 2/3
4. Talk or hear - 2/3
5. Uses hands to finger, handle or feel - 2/3

This job requires that weight be lifted, or force be exerted:
1. Up to 10 pounds - 1/3
 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
Check out the description to know which languages are mandatory.

Soft Skills

  • Verbal Communication Skills
  • Computer Literacy
  • Customer Service
  • Teamwork
  • Problem Solving

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