Financial Clearance Specialist, Full Time, Days

at Northwestern Memorial Healthcare in Chicago, Illinois, United States

Job Description

Location Chicago, Illinois
Business Unit Northwestern Medicine Corporate
Job REQID 138422
Job Function Customer Service
Shift Day Job (1st)

Benefits
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Salary Increase and Incentive Bonus
Paid time off and Holiday pay
Pay Starting at: $20.23+ per hour based on experience
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Description
The Financial Clearance Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
Responds to questions and concerns.
Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
Maintains patient confidentiality per HIPAA regulations.
Provides exceptional customer service to consumers which establish a positive first impression of Northwestern Medicine.
Exceeds all consumer requests and alerts management of issues or concerns that require escalation.
Correctly identifies and collects patient demographic information in accordance with organization standards.
Responds to telephone inquiries and performs appropriate action(s).
Documents all actions taken in the appropriate software applications.
Monitors admission/registration and scheduled surgeries flow of patient information through the revenue cycle.
Serves as a resource to staff and patients for insurance related issues.
Has a strong understanding of Medicare/Medicaid rules and regulations, and managed care products.
Is knowledgeable of current contracted and non-contracted healthcare insurance plans.
Reviews patient electronic medical record for appropriate diagnosis and pre-treatment rendered.
Has thorough understanding and working knowledge of CPT and ICD-10 coding.
Consults with physicians and their assistants whenever questions arise to insure timely approvals.
Follows through and makes corrections in demographics and insurances as they are discovered.
Data entry accuracy is imperative in this position.
Monitors Referral In-Basket in EPIC to insure work is consistently completed in a timely manner.
This involves watching for future test requests to come due and then pre-authorized within the time frame specified by the insurance carrier and the patient notified.
Facilitates the pre-authorization of diagnostic exams, between referring physicians and insurance carriers, through the use of online tools, work lists, and direct phone calls as necessary to ensure maximized patient benefits.
Ensures all admissions, scheduled surgeries, and certain outpatient procedures are financially cleared, to allow for maximum and timely reimbursement to the hospital.
Interacts with various hospital departments and physicians offices to effectively schedule and direct patients through the NMHC systems in a patient/customer friendly manner.
Performs medical necessity checks as necessary for scheduled services, communicates options to patient if appointment fails.
Informs patients of any issues with securing the financial account for... For full info follow application link.

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability or sexual orientation.