Financial Clearance Associate 1
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Job Description
Responsible for obtaining and verifying demographic and insurance information in a call center environment. Scheduling patients' appointments and coordinating patient flow at Baptist Health.
Responsibilities:
- The incumbent will be responsible for obtaining and verifying necessary demographic and insurance information, including authorization/referrals/notifications (diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments).
- Responsible for scheduling patients' appointments/procedures (initial, follow-up, and/or add-on), as applicable.
- This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics (e.g., productivity, accuracy, customer service QA, etc.).
- Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns.
- Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations.
- Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members.
Requirements:
- Complete and successfully pass the Patient Access training course.
- Ability to work in a high volume, fast-paced work environment.
- Ability to perform basic mathematical calculations.
- Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills.
- Desired: Basic knowledge of medical and insurance terminology.
- Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills.
- Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines.
- Bilingual English, Spanish/Creole.
Benefits:
- Career growth and development opportunities, with clear pathways and ongoing support
- Comprehensive health and wellness resources that go beyond traditional benefits
- A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
- Tuition reimbursement to support continued learning and advancement
- And so much more
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