JOB TITLE: Financial Clearance Specialist, Associate

LOCATION: Glenmaura Office Building

DEPARTMENT: My Visit

WORK SCHEDULE: Days (Mon – Fri, 8:30AM – 5:00PM; no weekends or holidays)

WORK TYPE: Full Time (1.0 FTE)

JOB SUMMARY:

Provides seamless pre-registration based on HIPAA guidelines prior to service for scheduled ambulatory appointments and hospital scheduled admissions throughout the Geisinger Health System. Completes insurance verification. Documents any out-of-pocket expenses and acquire any necessary referrals. 

Conducts outbound calls to patients to complete the pre-registration process which consists of utilizing the department scripting which includes patient identification, customer service, registration and explanation of benefits prior to date of service. 

Reviews insurance benefits with patient and attempts to collect copays, deductible and coinsurance along with outstanding balance and pre-service payments to contribute to department point of service collections. 

The Financial Clearance Specialist will be responsible for providing customer service excellence in a professional manner and will ultimately serve as the voice for Geisinger Health System when interacting with the public daily utilizing CICARE standards. 

Performs duties to support the goals and objectives of the My Visit pre-registration department for Geisinger Health System. 

Directly accountable to the Supervisor, Revenue Cycle.

SPECIFIC POSITION DUTIES:

Basic knowledge sufficient to perform recurring assignments with a reasonable degree of independence under normal supervision and after a customary orientation period. 

Participates in training, as well as cross training within the department. Attends all necessary educational sessions related to job functions. To include but not limited to new as well as refresher training on departmental processes, systems and insurance updates. 

Adheres to all GHS policies, procedures, protocols and standards of care. 

Attends and participates in departmental staff meetings. Responsible for reading and reviewing all emails received from management and training and development. 

COMPETENCIES AND SKILLS:

Demonstrates a positive, supportive, respectful and helpful attitude in interactions with all department customers (patients, physicians and other healthcare team members). 

Demonstrates the ability of being cross trained and can work within all systems. 

Provides and maintains patient privacy in compliant with HIPAA guidelines and privacy practices, patient confidentiality and patient rights. 

Demonstrates a calm, professional manner. Offers and acts on constructive feedback. 

Demonstrates time management skills effectively to perform financial clearance while meeting department productivity with a high level of customer service. 

Demonstrates flexibility in response to unexpected changes in work assignments, staffing and scheduling. 

Demonstrates basic knowledge of Microsoft Outlook application and GHS software systems and their integration. 

EDUCATION AND EXPERIENCE:

High school diploma or equivalent is required. 

Previous experience recommended in Healthcare environment with focus on Registration or Financial Services. 

Previous experience in insurance verification and insurance benefits preferred. 

Overall knowledge of the revenue cycle and accounts receivable preferred. 

Experience with EPIC Grand Central, Cadence, SharePoint and Patient Financial systems preferred. 

Successful completion of the Revenue Cycle training program. 

WORKING CONDITIONS/PHYSICAL DEMANDS:

Work is typically performed in an office environment.

The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job.

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

About Geisinger

One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

** Does not qualify for J-1 waiver.  We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply.  All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

*Domestic partner benefits not applicable at Geisinger Holy Spirit.