Financial Clearance Specialist

Requisition #: 470943
Location: Johns Hopkins Health System, Baltimore, MD 21201
Category: Finance
Work Shift: Day Shift
Work Week: Full Time
Weekend Work Required: No
Date Posted: March 29, 2022

Join an amazing global healthcare organization!

Excellent compensation package!

Awesome benefits, including dependent tuition reimbursement!

Requisition #: 470943

Location: 3910 Keswick Rd, Baltimore, MD 21211

Shift:

Full Time (40 hours)

Day Shift: 8:30 am - 5:00 pm

Non-Exempt

Position Summary:

Reporting to the Supervisor, Financial Clearance, this position will be responsible for processing administrative and financial components of financial clearance including but not limited to validation of insurance/benefits, medical necessity validation, processing routine and complex pre-certification, prior-authorization, and patient financial information. In addition, this role possesses the skill and knowledge for documenting pertinent information into appropriate systems and knows when escalation is required and is able to identify and triage routine financial clearance work. The position requires integral communication with insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal customer experience.

Contributes to the success of a high-performing shared services organization by helping to drive the long-term Johns Hopkins Medicine Shared Services vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized.

Education:

Requires High School Diploma or equivalent

Work Experience:

Minimum 2-5 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience

Licensure/Certification:

Certification on appropriate registration system is required during the 90-day introductory period Successful completion of departmental training program and all related competency assessments Coding Certification is a plus

Knowledge/Skills:
• Knowledge of medical and insurance terminology
• Knowledge of medical insurance plans; especially manage care plans
• Requires ability to understand, interpret, evaluate, and resolve basic customer service issues
• Knowledge of the Johns Hopkins Health System or other Healthcare related policies and procedures, preferred
• Intermediate in Microsoft Office
• Requires excellent verbal, communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, superiors, patients, members of the healthcare team and external agencies
• Requires intermediate analytical skills to resolve problems and provide patient and referring physicians with information and assistance with financial clearance issues
• Ability to perform with attention to detail and accuracy
• Ability to multitask and prioritize work
• Requires high level of professionalism in both appearance and presentation
• Ability to perform with accuracy and attention to detail for meeting payer-imposed deadlines on a daily basis
• Requires communication skills to clearly and concisely communicate verbally and in writing with peers, superiors, payers, physicians, ancillary departments, etc.
• Ability to evaluate own workflows and Johns Hopkins Medicine processes and appropriately recommends process improvements

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.