Sr Financial Clearance Specialist

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Join an amazing global healthcare organization!

Awesome benefits, including generous paid time off, tuition reimbursement, retirement plan and more!

Room for growth!

Remote role- applicants working from MD, VA, DC, PA, DE, and FL will be given first consideration

The Senior Financial Clearance Specialist will be responsible for processing all administrative and financial components of financial clearance for multiple specialties, ability to escalate requests in a timely manner and triage complex cases. In addition, this role is able to work independently independent of supervision is knowledgeable of financial clearance functions, can problem solve functional level issues, and is able to provide input from an operational perspective on decision-making. The Senior Financial Clearance Specialist must have the ability to cross train staff to perform duties include managing by service line, and/or complex multi-payer insurance verification and benefit eligibility validation and prior authorizations, including obtaining and completing documentation for pre-certification and referrals/authorizations.

Requirements:

• Requires minimum of Associates degree. Work experience may substitute degree (i.e. 2 years of experience for 1 year of education)
• Minimum 5-7 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related
• Experience with insurance verifications, prior authorizations, and referrals
• Advanced knowledge of medical and insurance terminology
• Knowledge of medical insurance plans and experience in insurance portals (Availity, CareFirst, Kaiser)
• Working knowledge of applicable Federal, State, and local laws and regulations desired
• Working knowledge of CPT and ICD-10 codes as they relate to financial clearance

Salary Range: Minimum 22.33/hour - Maximum 36.86/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.