Financial Clearance Specialist (Pre-Authorization exp required) - REMOTE )

Vanderbilt University Medical Center; Nashville (TN); Remote; USD 40,000 - 55,000; Full time

Job summary

A major medical facility in Nashville is seeking a financial clearance assistant who will assist in financial matters relating to patient care, verify insurance information, and guide patients in applying for financial assistance. Candidates should have 2 years of relevant experience and a high school diploma or GED. This position values a problem-solving approach and customer service commitment.

Qualifications

• 2 years of relevant work experience is required.

Responsibilities

• Obtain certification from insurance companies for office visits.
• Verify insurance information and register cases in the tracking system.
• Evaluate patient assets to determine ability to pay.
• Review admission alternatives and guide patients in applying for financial assistance.
• Complete pre-certification, credit applications, and other necessary paperwork.

Skills

Problem Solving

Customer Service

Data Entry

Insurance Regulatory Knowledge

Education

High School Diploma or GED

Job description

Overview

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization: Financial Clearance 30

Job Summary

Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources.

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Key Responsibilities

• Obtains certification from insurance companies for all office visits.
• Verifies insurance information and registers cases in tracking system.
• Evaluates patient assets and liabilities to determine ability to pay.
• Reviews alternatives to admission and guides patient in applying for financial assistance.
• Completes pre-certification, credit applications, and other necessary paperwork.
• Performs investigative and follow-up work relating to reimbursement issues.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.
• Performs tasks to support and obtains pre-certifications from insurance companies

Technical Capabilities

• Problem Solving (Novice): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
• Data Entry (Novice): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
• Customer Service (Novice): A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
• Insurance Regulatory Knowledge (Intermediate): Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims, payment and coverage. Ability to interpret and explain rules and regulations that are ambiguous or unclear.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Position Qualifications

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

2 years

Education:

High School Diploma or GED

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.