Financial Clearence Specialist - Full-Time Day

$21.84

As part of the Montefiore Health System, we offer the quality of a premier academic medical center and the caring of a community hospital. We’re committed to the health and well-being of Rockland County’s residents and our team members.

Benefits include:

• 1199 Pension Plan
• Medical, dental, and vision benefits
• Tuition reimbursement
• Generous Paid Time Off (plus 8 holidays )
• The clinical excellence of the Montefiore Health System
• Equal Opportunity Employment
• Zero tolerance policy for discrimination, harassment and abuse
• Fair employment practices, including equal treatment in hiring, promotion and compensation
• WE CARE code of conduct for all team members

A Great Place to Live

Just 35 miles from New York City, Rockland County offers friendly communities, natural beauty, outdoor pursuits, convenient shopping and easy access to New York City. While Rockland County has plenty to offer, both the mountains and the beach are within a few hours’ drive.

Under general supervision and in accordance with established policy and procedure, The Financial Clearance Specialist is responsible for coordinating the insurance clearance process by completing Financial Clearance for both scheduled and non-scheduled appointments. Cases needing financial clearance may include (but not limited to) diagnostic testing, surgery, pathology, and lab work verification and clinical trial research. The Financial Clearance Specialist will be responsible for (but not limited to) verifying eligibility, benefits, referral and authorization requirements in addition to obtaining referrals and authorizations as necessary. In addition, the Financial Clearance Specialist will 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; referring physician and/or patient when applicable. 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. The Financial Clearance Specialist will also be responsible for self pay follow-up, assistance to walk-in patients, and provision of payment options (Medicaid, charity care and payment plan) to uninsured patients under general supervision and in accordance with established policy and procedure, is responsible for registration, verification, claim submission, follow-up, cash application, collection of accounts, appropriate referrals and assistance in selection and/or processing payment option assistance through Financial Counseling.

High School Diploma or equivalent required. Associate’s degree preferred.
Medical Billing/Clerical experience required.
NYSOH Healthcare Exchange Assistor certification preferred (Required within 1st year of employment).
Full command of English Language. Bilingual in Spanish preferred.
Ability to perform effectively despite sudden deadlines and changing priorities.
Excellent verbal and written communication skills.