Financial Clearance Coordinator

Overview

The Financial Clearance Coordinator is responsible for coordinating the staffing and workload for the financial clearance process. Responsible to assure that Financial Clearance is completed for both scheduled and nonscheduled appointments. The coordinator is responsible for (but not limited to) verifying eligibility, benefits, referral and authorization requirements in addition to obtaining referrals and authorizations as necessary. The coordinator will also be responsible for researching appointments to ascertain scheduled services as well as identifying the appropriate procedures codes for said services.

Financial Clearance will also include financial work-up; financial collection over the phone or asking the patient to pay a specified amount prior to or on the date of service; communicating pertinent information to the patient financial counselors. Serves as a liaison between the patient, referring physician and insurance plan to ensure that all services are financially cleared several days in advance to the date of service.

Hours: Monday-Friday 8am-4:30pm

Location: Remote - applicants preferably reside in the UPH geography of Iowa, Illinois, or Wisconsin

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

• Responsible to provide support and knowledge for the financial clearance team members assigned
• Assist leadership in recommending, maintaining and approving appropriate staffing levels and administering the following: staff orientations, ongoing education programs, and development courses in all areas of responsibility
• Financial Clearance Coordinator will be subject matter expert by assisting with providing oversight, coach and mentor team members, and provides recommendation on workflow
• Provides guidance for use of departmental policies, procedures and protocols to evaluate and determine the best alternative for the patient as it pertains to the all aspects of Financial Clearance
• Leading all aspects of financial clearance to enable complete, accurate, and timely hospital billing—maximizing collectable and minimizing uncollectible accounts
• Maintaining a system of data reporting that provides timely and relevant information to all employees with respect to financial clearance responsibilities
• Supervises process of admission notification and informing Utilization Review staff of authorization information to insure timely concurrent review
• Ensuring the quality and reliability of Financial Clearance staff
• Demonstrates subject matter expertise with insurance requirements
• Actively assists department personnel with their duties as time permits or need arises
• Readily identifies work that needs to be performed and completes it without needing to be told
• Establishes and adheres to customer service standards for the department

• Works collaboratively with physician practice personnel as necessary to assure that CPT code is correct for procedure ordered and is authorized when necessary
• Initiates pre-certification process with physicians, PHO sites or insurance companies…