This is a remote position in which we are able to employ in the following states: Alabama, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin

JOB SUMMARY/PURPOSE

Secures payment by working closely with Payer and customer, ensuring authorization, notification, and point of service collection requirements are completed in a timely manner. Interacts with insurance companies, departments and service areas, physicians, utilization review, and customers to guarantee the accuracy and completeness of each account to maximize reimbursement. Serves as a resource for staff as needed.

DEPARTMENT DESCRIPTION

The Financial Clearance department is responsible for Insurance Verification and Preadmissions. Financial Clearance functions include insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, estimates, financial counseling, and pre-service collections.

EXPERIENCE/EDUCATION/QUALIFICATIONS

High school diploma or equivalent required. Two (2) years collections, finance/accounting, medical billing or patient registration experience required. One (1) year experience equivalent to a SHS Payer Customer Analyst I role required. Experience or training in computer applications required. Experience or training in medical terminology, insurance authorization, reimbursement requirements and

CPT/ICD-9

coding preferred.

KNOWLEDGE/SKILLS/ABILITIES

Confidentiality:

Knowledge of the importance of confidentiality.

Communication:

Communicate information verbally and in writing so others will understand.

Customer Service:

Ability to communicate to people internal and external to the organization and to represent the organization to customers, the public and external sources.

Problem Solving:

Ability to identify problems and review related information using logic and reasoning to evaluate options and implement solutions.

Team Building:

Ability to work as part of a team or on your own.

PHYSICAL DEMANDS

Rarely (1

• 10% of the time) Occasionally (11
• 33% of the time) Frequently (34
• 66% of the time) Continually (67
• 100% of the time) WALK
• INCLINE CLIMB
• STAIRS LIFT (Floor to

Waist:

0

• 36") 20
• 40 Lbs LIFT (Knee to chest: 24
• 54") 0
• 20 Lbs CARRY 1-handed, 0
• 20 pounds CARRY 2-handed, 0
• 20 pounds SQUAT Static (hold >30 sec) SQUAT Repetitive KNEEL (on knees) PUSH (0-20 pounds force) PULL (0-20 pounds force)

STAND WALK

• LEVEL

SURFACE LIFT

(Waist to

Eye:

up to 54") 0

• 20 Lbs LIFT (

Overhead:

54" and above) 0

• 20 Lbs

BEND FORWARD

at waist LIFT (Floor to

Waist:

0

• 36") 0
• 20 Lbs

ROTATE TRUNK

Sitting

ROTATE TRUNK

Standing REACH

• Forward REACH
• Upward PINCH Fingers GRASP Hand/Fist

SIT MANUAL DEXTERITY

Hands/wrists

FINGER DEXTERITY

Location:

Samaritan Health Services

• SHS

•

Financial Clearance Schedule:

1.0 (80 hrs/pp), Day