Job Description

Overview
 

At Garnet Health, the Hudson Valley’s leading integrated health system, you’ll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve. If you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Financial Clearance Specialist on our team at/in Garnet Health Medical Center.

Responsibilities
 

The Financial Clearance Specialist is responsible for the completion of insurance verification at both the eligibility and benefit level. This individual will assess, review and determine the insurance coverage and requirements for the visits and diagnostic testing that will be performed. They will serve as the bridge between the clinical and revenue cycle business areas, by obtaining all required referrals and authorizations prior to the completion of any visits or testing. This process will assure that payment is received in a timely fashion from the date the services are preformed, thereby reducing the financial risk to the organization.  This position works closely with departmental leaders and staff to assure all clinical data required to obtain authorization for services rendered are obtained both Pre and Post op procedures. This individual will be key in assuring the financial stability of the program.  This role will also contact patient/caregiver once the visit has been confirmed as covered by insurance or to advise of any financial obligation that the patient may have. Thereby, meeting the NSA guidelines. 

At Garnet Health, we are committed to supporting your career growth and professional potential. We are responsive, attentive and dedicated to the success and satisfaction of our team members. Here, you’ll find resources that will help you excel in your career, tuition reimbursement programs for your continued education, and comprehensive health, dental and retirement benefits designed to fit your individual and family needs. Our inclusive and diverse team culture encourages you to contribute your exceptional talents, skills and perspectives to the success of our system, one another, our communities and our patients.

Qualifications

Minimum Education: High School Diploma, Associates degree preferred.                                             

Minimum Experience: 2 years of Healthcare Revenue Cycle Insurance experience, Insurance verification preferred                

Required Certification/Registration: Knowledge of ICD-10 codes

Physical Requirements:                                                                                                            

Working Conditions:

Environmental Demands and Exposure to Hazards: Works in a clean, well-lighted, heated or ventilated facility.  No routine exposure to hazards.
Physical Demands: Demonstrates physical and functional ability to perform full anatomical range of motion to accomplish tasks. Evidence of visual and aural acuity and finger and hand dexterity to operate computer and office equipment. Can withstand long periods of sitting, standing and/or constant walking. Ability to lift 10 lbs.
Mental Demands: Ability to foster collaborative relationships, to work well under pressure, to organize and synthesize new information, and prioritize tasks. Possesses critical thinking, analytical skills and flexibility. Ability to multi-task. Required detailed attention to work in an environment where interruptions cannot be controlled. Demonstrates sensitivity to customer needs and expectations. May be subject to irregular hours including evenings or potentially weekends to participate in operational and community events as necessary.