Note: The job is a remote job and is open to candidates in USA. Baptist Health is the region's largest not-for-profit healthcare organization, dedicated to providing compassionate and quality patient care. The Financial Clearance Associate I is responsible for obtaining and verifying patient demographic and insurance information, scheduling appointments, and ensuring quality metrics in a call center environment.

Responsibilities

• Responsible for obtaining and verifying necessary demographic and insurance information, including authorization/referrals/notifications (diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments)
• Responsible for scheduling patients' appointments/procedures (initial, follow-up, and/or add-on), as applicable
• This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics (e.g., productivity, accuracy, customer service QA, etc.)
• Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns
• Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations
• Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members

Skills

• High School, Cert, GED, Trn, Exper
• Complete and successfully pass the Patient Access training course
• Ability to work in a high volume, fast-paced work environment
• Ability to perform basic mathematical calculations
• Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills
• Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines
• Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills
• Basic knowledge of medical and insurance terminology
• Bilingual English, Spanish/Creole

Benefits

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement

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