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Financial Clearance Coord (Pre Service Patient Access)

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Req #: 10102
Entity: Asante Corporate
Location: Medford, OR
Department: Pre Service Patient Access
Shift: Primarily Mon - Fri / 8AM - 5PM
Union Position: No
FTE: 1.000000
Schedule: Full Time
Salary: $20.13 - $27.67 depending on qualifications

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Financial Clearance Coord (Pre Service Patient Access)

Additional Position Details:


Why Asante

Asante is more than a great hospital system in an amazing location. We are a community of passionate providers and service-focused caregivers who collaborate to deliver amazing patient outcomes; a place where titles don't matter as much as your creativity, drive, and passion. Our culture, values and people create an environment of sustained medical excellence.

Position Summary

The Financial Clearance Coordinator is responsible for performing financial clearance functions, including but not limited to: Verifying insurance eligibility and benefits; ensuring authorizations on file are accurate; confirming valid order on file for scheduled service; and providing price estimates and waivers to scheduled patients. The Financial Clearance Coordinator works closely with Patient Registration, Central Scheduling, Referrals, Utilization Review, Epic, and leadership teams to ensure all patients are financially cleared and screened for financial risk before receiving services.

Principle Duties and Responsibilities include:

  • Verifying insurance eligibility and benefits prior to service for patients with scheduled services (e.g. surgery and imaging)
  • Calling payers to verify eligibility and benefits for unscheduled inpatient services
  • Reviewing authorizations on file to ensure they are complete and accurate and contacting payers if an authorization needs to be updated (e.g. a procedure was scheduled without adequate notice to the authorization team)
  • Creating waivers for registration teams in the event an authorization has not been secured but the patient or provider wishes to proceed with the scheduled service
  • Preparing price estimates for patients with scheduled services
  • Communicating patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or co-payments and how they may affect the cost of care
  • Explaining how non-covered and out-of-network services factor into the out-of-pocket cost
  • Other duties as assigned by the Supervisor

Qualifications

Education

  • Associate Degree in business or healthcare related field, preferred

Experience

  • Minimum 2 years of experience in credit/collections, insurance authorizations, or other comparable healthcare experience is required

Licensure/Certifications

  • CHAA: Certified Healthcare Access Associate through the National Association of Healthcare Access Management, preferred

What We Offer

  • Competitive starting wage
  • Comprehensive benefits including medical, dental, vision, and wellness
  • Excellent retirement package with up to 6% employer contribution
  • Generous Earned Time Off
  • Tuition reimbursement after one year of service

About Asante and Southern Oregon

Asante is a local, community owned and governed, not-for-profit organization that provides comprehensive health care services to more than 550,000 people in a nine-county area of Southern Oregon and Northern California. It includes Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners throughout the Rogue Valley, and additional health care partnerships. Virtually all medical specialties and services are represented within an organization dedicated to providing exceptional care. With over 5,000 employees, Asante's entities offer outstanding opportunities for career advancement and professional growth. At Asante your work positively impacts your family, friends, neighbors and the community. Experience the difference in how you work, how you live and how you connect.

At Asante we are defined by our values - traits that guide us as we serve patients and the community:

Excellence - Respect - Honesty - Service - Teamwork

Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.

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