[Hiring] Financial Clearance Coordinator @Mosaic Life Care

Role Description

Under the direction of the Patient Access Services and Special Project Director, responsible for assisting patients with inquiries related to:

• Pre-service patient financial responsibility
• Propensity to pay scoring
• Patient billing policies
• Financial counseling
• Insurance eligibility
• Medical necessity
• Non-covered services
• Patient payment collection policies

The coordinator will be responsible for monitoring the pre-status accounts receivables and overall workflow of daily operations.

Responsibilities

• Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.
• Assists with staffing the Patient Financial Clearance Services Call Center, providing superior customer service to the service areas supported by communicating payor requirements and/or limitations.
• Researches state and federal regulations to ensure compliance standards are met within the department.
• Assists with communication of all Patient Access vendors and internal stakeholders to ensure quality and accuracy of the technology.
• Reviews phone system and other reports, analyzing data to identify potential stress points and recommend areas of improvement.
• Monitors and reports point of service collection opportunities at the system level.
• Coordinates payer-related issues for pre-service processes to the Managed Care Director.
• Researches and trends payer denials related to Pre-Access services and assists with the development of future edits for the quality assurance technology.
• Maintains the policies and procedures related to pre-service and point of service collection practices. Provides reasonable cash collection goals for the enterprise to meet or exceed the 75th percentile.
• Assists the Financial Clearance Manager with the supply and overtime budget to ensure the department stays within budget.
• Manages customer complaints and reports any necessary changes needed related to patient pre-service payment and pre-access services policies.
• Provides support to the Financial Clearance Manager for special projects and reporting.
• Organizes all training needs for the Financial Clearance department with the training team and reports any special training needs.
• Other duties as assigned.

Qualifications

• H.S. Diploma - Required
• Bachelor's Degree - Preferred
• 1 Year - Experience with pre-access services policies - Required

Requirements

• Travel to off-site locations may be required - Required

Skills and Abilities

• Essential Technical/Motor Skills: Communicates clearly and concisely; good hand-eye coordination.
• Interpersonal Skills: Excellent oral and written communication skills; maintains good rapport and professional relationships with caregivers; demonstrates excellent customer service skills by maintaining friendly, courteous, and helpful behaviors.
• Essential Physical Requirements: Ability to operate equipment on a continuous/repetitious basis such as computer, telephone, fax, and copier; multi-skilled responsibilities require sitting, walking, and standing.
• Essential Mental Abilities: Analyze and interpret data; excellent short-term and long-term memory; ability to perform multiple tasks and follow system policies and procedures.
• Essential Sensory Requirements: Visually assess paper and electronic data, hear telephone and converse.
• Exposure to Hazards: Other Skills and Abilities.
• Demonstrated self-starter; excellent organizational skills; ability to quickly assess and respond appropriately to emergency situations; ability to comprehend medical terms; analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles; knowledge and experience with a variety of information systems and Internet usage; experience with spreadsheet and word processing software; ability to work independently and manage individual workload to meet productivity standards along with a varied schedule, which includes weekend and evening coverage.

Company Description

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.

Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including:

• Concierge services
• Employee lounge
• Wellness programs
• Free covered parking
• Free on-site and virtual health clinics
• Many more

When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.