Health Insurance- Financial Clearance Associate II

The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization,academically based health system, dedicated to providing the highest quality patient health care in the treatment and prevention of human illness.

What awaits you:

• Room for growth
• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.

This is a full time remote role. Applicants residing in MD, VA, DC, PA, DE and FL will be considered.

Must have prior authorization experience in a hospital setting- surgery, MRI, etc.

Position Summary:

Reporting to the Financial Clearance Manager/or Supervisor, the Financial Clearance Coordinator will be responsible for all administrative and financial components of financial clearance. Some of the financial components consist of pre-registration, insurance verification, pre-certification, and patient financial information. The position is also responsible for informing the patient/guarantor of all financial liabilities and documenting pertinent information into appropriate systems. The position requires integral communication with patients, insurance companies, department administrators, physicians, and other departmental staff to ensure the ideal patient experience. The Financial Clearance Coordinator works as a team member and positively accepts change throughout the Health System while establishing relationships at all facilities and be familiar with each institution's computer environment and payer contracts as needed.

Education:

High School Diploma or equivalent

Knowledge:

• Knowledge of medical and insurance terminology
• Knowledge of medical insurance plans; especially manage care plans
• Requires ability to understand, interpret, evaluate, and resolve basic customer service issues.
• Knowledge of the Johns Hopkins Health System or other Healthcare related policies and procedures, preferred. Skills:
• Intermediate in Microsoft Office
• Requires excellent verbal, communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, superiors, patients, families, members of the healthcare team and external agencies.
• Requires intermediate analytical skills to resolve problems and provide patient and referring physicians with information and assistance with pre-registration and registration issues.
• Ability to perform with attention to detail and accuracy
• Ability to multitask and prioritize work
• Ability to demonstrate and convey a favorable image of the organization and conform to proper standards of professional dress, attitude, and demeanor.
• Requires high level of professionalism in both appearance and presentation

Required Licensure Certification, etc.

• Certification on host systems as appropriate. Certification to be obtained during introductory 90 day probationary period
• Successful completion of departmental training program and all related competency assessments.
• Coding Certification is a plus

Work Experience:

1-2 years related medical office, hospital, or similar customer service environment