JOB SUMMARY: The Financial Clearance Specialist for Admitting is responsible for obtaining & monitoring the financial clearance of patients, including: insurance verification, price estimation, obtaining authorizations, submitting pre-certifications and validation of medical necessity for services. This position will maintain a proficient understanding of third-party payer regulations and guidelines for these particular service lines, including a working knowledge of medical necessity requirements. The Financial Clearance Specialist will determine benefit and coverage levels and connect patients with financial assistance resources, as needed. In all encounters with patients and families, the financial clearance specialist will strive for the highest level of customer service. The Financial Clearance Specialist will also perform the following registrar tasks: Review work for overall quality and accuracy. Explain hospital regulations and policies to patients and visitors as required. Produce, assemble, file, and deliver registration documents, information and forms to designated locations. Work through reports and correct or update information, as required. Verify eligibility and benefits data utilizing electronic or computerized methods. Calculate and determine patient payment amounts and seek payment from patient during interview process. Work with clinical departments for timely registration/pre-registration, communicating any needs. Assist patient in obtaining language interpretation services, as needed and appropriate. Demonstrate the highest level of customer service and teamwork at all times. Strive to serve the patient and meet their needs. Provide feedback to management team in a timely manner. Model BRHC standards of behavior at all times.

　　QUALIFICATIONS:

　　Education: High school diploma or equivalent required, Associates degree preferred. Professional certification to be obtained within first year of hire.

　　Experience: Previous experience working with the public required. Hospital or physician office experience helpful. Highly preferred 3-5 years of Patient Access experience.

　　Other: Computer literate with ability to learn current system. Medical terminology or ability to learn medical terminology. Must work independently, use good judgement and decision-making skills. Must have strong emotional stability, have pleasant personality, excellent written and verbal communication skills and a positive attitude toward working with the public. Dependability and flexibility are required. Well organized with proven ability to work independently. Skills should include standard office equipment.

　　TYPICAL PHYSICAL DEMANDS: Requires functional range of motion. Requires corrected vision and hearing to normal range, manual dexterity and eye-hand coordination. Frequent walking, sitting, standing, stooping, bending. Push/pull 50 pounds force. Occasionally carry items weighing 25 pounds