Financial Clearance Coordinator- Full time

Shirley Ryan AbilityLab; United States; On-site; USD 23,000 - 41,000; Full time

Benefits offered by this job

Benefits program

Job summary

Shirley Ryan AbilityLab in the United States is seeking a Financial Clearance Coordinator to determine eligibility for third-party payor benefits and secure initial financial authorization when required. You will notify patients and families of coverage decisions and explore alternative payment options.

This role emphasizes collaboration with care teams, patient financial services, and Care Managers to ensure accurate documentation and timely authorization while upholding our mission of

Qualifications

• Minimum educational requirements high school degree or equivalent, Associate College degree preferred.
• Prior registration/preregistration experience or related experience.
• Knowledge of health care delivery services and the field of rehabilitation medicine preferred.
• Working knowledge of Windows operating environment and Microsoft Office software applications.
• Strong customer service and interpersonal skills necessary to interact with all levels of Institute personnel, physicians, insurance representatives, and other internal and external customers.
• Analytical skills necessary to ensure complete and accurate documents and forms.

Responsibilities

• Researches and verifies financial coverage for planned services prior to patient scheduled appointments.
• Determines whether planned services are covered by patients' benefit plans and communicates limitations or denials to patient and families.
• Completes authorization forms including documentation pertaining to pre-certification, plan authorization, and/or obtaining primary care physician referrals.
• Researches and Discusses financial options with patients and families for services not reimbursable by a third party payors.
• Refers cases to outpatient Care Managers or Social Workers when patients are unable to pay for services not covered under a third party payor.
• Forwards completed forms and documentation to appropriate internal departments including Patient Financial Services.
• Documents financial clearance information in SRAlab's Information System, updating demographic, insurance, funding and medical information, as needed.
• Communicates information to the outpatient clinical team or SRAlab inpatient Care Managers as needed.
• Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Skills

Customer service

Interpersonal skills

Analytical skills

Attention to detail

Education

High school diploma or equivalent

Associate degree preferred

Tools

Windows

Microsoft Office

Job description

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes as we Advance Human Ability, together.

Financial Clearance Coordinator

Job Description Summary

The Financial Clearance Coordinator will determine eligibility for third party payor benefits and obtain initial financial authorization when required. Notifies patient, family members, and clinical area of third party coverage authorization decisions pertaining to reimbursement of patient care. Identifies alternative payment options and refers appropriate cases to the Care Manager. The Financial Clearance Coordinator will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute. The Financial Clearance Coordinator will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, and Commitment to Excellence) while fulfilling job duties.

Job Description

• Researches and verifies financial coverage for planned services prior to patient scheduled appointments.
• Determines whether planned services are covered by patients' benefit plans and communicates limitations or denials to patient and families.
• Completes authorization forms including documentation pertaining to pre-certification, plan authorization, and/or obtaining primary care physician referrals.
• Researches and Discusses financial options with patients and families for services not reimbursable by a third party payors.
• Refers cases to outpatient Care Managers or Social Workers when patients are unable to pay for services not covered under a third party payor.
• Forwards completed forms and documentation to appropriate internal departments including Patient Financial Services.
• Documents financial clearance information in SRAlab's Information System, updating demographic, insurance, funding and medical information, as needed.
• Communicates information to the outpatient clinical team or SRAlab inpatient Care Managers as needed.
• Performs all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.

Reporting Relationships

Reports directly to the Supervisor, Financial Clearance

Knowledge, Skills & Abilities Required

• Minimum educational requirements high school degree or equivalent, Associate College degree preferred.
• Prior registration/preregistration experience or related experience.
• Knowledge of health care delivery services and the field of rehabilitation medicine preferred.
• Working knowledge of Windows operating environment and Microsoft Office software applications.
• Strong customer service and interpersonal skills necessary to interact with all levels of Institute personnel, physicians, insurance representatives, and other internal and external customers.
• Analytical skills necessary to ensure complete and accurate documents and forms.

Working Conditions

Normal office environment with little or no exposure to dust or extreme temperature.

Pay and Benefits

• Pay Range: $17.05 - $29.62
• Benefits: Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits
• Benefits and benefits' eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role.

Equal Employment Opportunity Employer

Shirley Ryan AbilityLab is an Equal Employment Opportunity Employer. All applicants will be afforded equal employment opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, citizenship status, age, disability, sexual orientation, gender identity, genetic information, military status, order of protection status, unfavorable discharge from military service, or any other characteristics protected by law. EEO is the Law | EEO is the Law - Know Your Rights | View our Full Policy Shirley Ryan AbilityLab is an affirmative Action Employer as required by law.

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you’ll be part of our life-changing mission and vision. You’ll contribute to an innovative, multifaceted culture that is second to none one that embraces collaboration, excellence, discovery and compassion. You’ll play a role in something that’s never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes as we Advance Human Ability, together.