Financial Clearance Team Leader

Kennedy Krieger Institute, Inc.; Baltimore (MD); On-site; USD 45,000 - 76,000; Full time

Job summary

Kennedy Krieger Institute, Inc. in Baltimore seeks a Financial Clearance Team Leader to guide a team of Insurance Verification Specialists, ensuring accurate patient coverage determinations and clear communication with patients and departments.

The role involves mentoring IVSs, auditing work for accuracy, and coordinating with the Patient Access Director to set performance standards and manage workload.

Qualifications

• Minimum five years of insurance verification experience, and/or formal supervisory experience.
• Bachelor's degree in Healthcare Administration or related field preferred.
• NAHAM membership or 90-day membership after hire funded by department.

Responsibilities

• Lead and guide a team of Insurance Verification Specialists (IVSs).
• Coordinate with Patient Access Director on daily operations and workloads.
• Verify, interpret, and document patient health insurance or payment source.
• Audit IVS work for accuracy and completeness in the system.
• Evaluate eligibility for alternate financing sources and refer as needed.
• Estimate self-pay portions after benefits are determined (deductibles, co-pays).
• Maintain regular communication with patients/families on clearance matters.
• Communicate with program/department contacts about pending issues.
• Forward supporting documentation to registration, accounting, and clinical areas.
• Orient and precept new staff; enforce institute policies.

Education

High School diploma or GED

Bachelor's degree in Healthcare Administration or related degree

Supervisory experience

Tools

ICIMS

Job description

Overview

The Financial Clearance Team Leader serves as the lead verification specialist for team-designated responsibilities and tasks. The Financial Clearance Team Leader will provide support and assistance to a team of Insurance Verification Specialists (IVSs) and share knowledge formally and informally in both individual and group instruction. This position will serve as a resource to their IVS Team for special insurance verification cases and for gaining insurance clearance in difficult situations.

Responsibilities

1. Serves as a working/technical resource to team members. Plans, provides guidance, and facilitates a team of Insurance Verification Specialists’ (IVSs) work activities.


2. Collaborates with the Patient Access Director on daily department operations, to include establishing and adjusting performance standards and workloads for staff. Creates and maintains a positive, knowledge-sharing, and collegial work environment and sets high work and ethical standards by providing mentorship, direction, and support to staff and customers.


3. Verifies, interprets, and documents patient health insurance or payment source.


4. Audits the IVS team’s work to ensure complete and accurate information is entered into the system. Communicates findings to the Director and subordinates and indicates areas that require improvement.


5. Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.


6. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.


7. Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.


8. Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.


9. Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.


10. Will assist in ensuring Institute-wide and departmental policies are adhered to, in addition to orienting and precepting new staff.

Qualifications

QUALIFICATIONS:

• National Association of Healthcare Access Management (NAHAM) membership required. If no certification through NAHAM, membership within 90 days of employment is required. The department will cover the cost of membership.

EDUCATION:

• High School diploma or GED required.


• Bachelor's degree in Healthcare Administration or related degree preferred.

EXPERIENCE:

A minimum of five years of previous insurance verification experience, previous formal supervisory experience, or a combination of both, is required.

Minimum pay range

USD $45,059.66/Yr.

Maximum pay range

USD $75,603.63/Yr.

Software Powered by ICIMS

Vacancy ID 13653

Pos. Category Professional/Management

Job Location : Street 1741 Ashland Ave

# of Hours 40.00

Job Locations US-MD-Baltimore

Pos. Type Regular Full Time

Department : Name Care Management

Equal Opportunity Provider & Employer M/F/Disability/ProtectedVet