Financial Clearance Unit Coordinator at EvergreenHealth – Kirkland, Washington

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:
Responsible for coordinating the daily activities of the Financial Clearance Unit, including insurance verification, preauthorization processing, and financial counseling/screening including working with charity care applications, patient estimates and onsite Medicaid. Engages in active identification and correction of internal processes that contributes to denials. Maintains excellent business practices, understands all regulatory guidelines and supports maximum customer service, especially with regard to patient satisfaction and maintaining good payer relations.

Primary Duties:
1. Actively and independently problem solves, facilitates the identification of internal process within the organization to reduce rework and denial trend, participate in the implementation of new processes and timely responds to new trends with regards to payer denials and claim adjudication issues by communicating to proper personnel for resolution or escalation.
2. Provides input and analysis of internal deficiencies, facilitate correction in a timely manner with may involve input from patient care departments, Health Information Management personnel , registration and other key hospital departments.
3. Assists department leadership with development of monthly staffing schedules to provide coverage for open shifts, illnesses, vacations and other absences.
4. Verifies and obtains insurance authorization for services as required.
5. Works closely with schedulers/financial counselors for appointment cancellations and rescheduling as needed.
6. Coordinates work flow and communication between multiple EvergreenHealth departments (Patient Access, DI, Radia, and EHPC), insurance providers, and patients.
7. Initiates, completes, and follows-up on all aspects of obtaining preauthorization for specified outpatient services.
8. Identifies and communicates changes in process, insurance requirements, provider changes and guidelines to leaders and team members in a timely manner.

REQUIRED for the position:
* High school graduate or equivalent
* 5 years direct hospital experience
* Experience in working with healthcare insurers and their reimbursement systems, especially Medicare, DSHS, L&I and contract payers in a hospital patient accounts department, insurance carrier or for major physicians clinic
* Knowledge of medical terminology
* Knowledge of clinical/medical office procedures

DESIRED for the position:
* Leadership and problem solving experience
* Knowledge of insurance, ICD9 and CPT codes, and their successors as implemented

Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans (457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.
EvergreenHealth Benefits Guide