Financial Clearance Coordinator

Asante; Medford (OR); On-site; USD 29,000 - 40,000; Full time

Benefits offered by this job

Competitive Pay

Health & Wellness

Retirement Savings

Paid Time Off

Professional Development

Additional Benefits

Job summary

Asante in Medford, OR seeks a Financial Clearance Coordinator to verify insurance eligibility, obtain and review authorizations, prepare price estimates, and clearly communicate patient liabilities. Collaborate with Registration, Scheduling, Utilization Review, and leadership to ensure financial clearance before services.

The role requires ensuring accurate authorizations, creating waivers when needed, and explaining deductibles and coinsurance to patients, with attention to non-covered services

Qualifications

• Associate Degree in business or healthcare-related field preferred.
• Minimum 2 years in credit/collections, insurance authorizations, or similar healthcare experience.
• CHAA certification preferred.

Responsibilities

• Verify insurance eligibility and benefits prior to service for scheduled services.
• Call payers to verify eligibility for unscheduled inpatient services.
• Review authorizations on file for completeness and accuracy with payers.
• Create waivers when an authorization is not secured but service proceeds.
• Prepare price estimates for scheduled services.
• Explain patient liability including deductibles, coinsurance, and copays.
• Explain impact of non-covered and out-of-network services on out-of-pocket costs.
• Other duties as assigned by the Supervisor.

Skills

Verifying insurance eligibility

Communicating patient liability

Payer communication

price estimation

Customer service

Education

Associate Degree in business or healthcare-related field

Tools

Epic

Job description

Description

Additional Position Details:FTE: 1.000000 |Full Time|Primarily Mon - Fri / 8AM - 5PM

Starting Wage:$21.15-$29.08 per hour, depending on experience

Position Summary

The Financial Clearance Coordinator is responsible for performing financial clearance functions, including but not limited to: Verifying insurance eligibility and benefits; ensuring authorizations on file are accurate; confirming valid order on file for scheduled service; and providing price estimates and waivers to scheduled patients. The Financial Clearance Coordinator works closely with Patient Registration, Central Scheduling, Referrals, Utilization Review, Epic, and leadership teams to ensure all patients are financially cleared and screened for financial risk before receiving services.

Principle Duties and Responsibilities include:

• Verifying insurance eligibility and benefits prior to service for patients with scheduled services (e.g. surgery and imaging)
• Calling payers to verify eligibility and benefits for unscheduled inpatient services
• Reviewing authorizations on file to ensure they are complete and accurate and contacting payers if an authorization needs to be updated (e.g. a procedure was scheduled without adequate notice to the authorization team)
• Creating waivers for registration teams in the event an authorization has not been secured but the patient or provider wishes to proceed with the scheduled service
• Preparing price estimates for patients with scheduled services
• Communicating patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or co-payments and how they may affect the cost of care
• Explaining how non-covered and out-of-network services factor into the out-of-pocket cost
• Other duties as assigned by the Supervisor

Qualifications

Education

• Associate Degree in business or healthcare-related field, preferred

Experience

• Minimum 2 years of experience in credit/collections, insurance authorizations, or other comparable healthcare experience is required

Licensure/Certifications

• CHAA: Certified Healthcare Access Associate through the National Association of Healthcare Access Management, preferred

Total Rewards

We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:

• Competitive Pay: Hourly and salaried positions earn market-based compensation.
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
• Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
• Paid Time Off: Generous ETO for part-time and above employees.
• Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
• Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:

Excellence - Respect - Honesty - Service - Teamwork

Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.