Financial Clearance

2 days ago

🍂 Massachusetts – Remote

Although this job is listed in Massachusetts, this company may be open to hiring remote in other states.

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis

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UMass Memorial Health

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UMass Memorial Health is a comprehensive health system located in Massachusetts. It serves as the clinical partner of UMass Chan Medical School and offers a wide range of healthcare services across its network of hospitals, including UMass Memorial Medical Center, Harrington Hospital, HealthAlliance-Clinton Hospital, Marlborough Hospital, and Milford Regional. The health system provides services in cancer care, diabetes, emergency and heart care, orthopedics, and more. It also offers behavioral health services and community health initiatives. UMass Memorial Health is renowned for its innovative clinical trials in oncology and has been recognized for its excellence in cancer programs. It serves as the exclusive healthcare provider for the Worcester Red Sox and offers extensive resources for patients, including financial counseling, price estimator tools, and various patient support services.

10,000+ employees

Founded 1884

⚕️ Healthcare Insurance

💰 $4.7M Grant on 2022-12

📋 Description

• Responsible for assessing and verifying patient information for scheduled for medical services. • This requires verification of patient’s demographic, financial and insurance information. • Collects co-pays, deductibles, coinsurances, and down payments. • Provides estimates for services when appropriate. • Receives and processes patient financial liability payments for current and past balances. • The focus is to collect patient liabilities prior to service and to resolve any insurance and financial issues prior to services being rendered. • Reschedules appointments when appropriate under the guidance of department leader. • Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable. • 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. • Receives and processes patient payments. • Ensures pre-certification authorization and or referral is in placement prior to service being rendered. • Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient. • Enters clear, concise notes concerning financial clearance status in system based on communications. • Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.

🎯 Requirements

• Minimum High School Diploma, or G.E.D., business concentration preferred. • Associate degree, or higher, preferred. • Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency. • Prior experience in a healthcare environment required. • Working knowledge of personal computers and business office applications preferred. • Familiarity with hospital computer systems is a plus. • Knowledge of third party collections and reimbursement preferred. • An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.