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
Company Overview
Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 29,000 employees, 4,500 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. It was founded in 1990, and is headquartered in Coral Gables, Florida, US, with a workforce of 10001+ employees. Its website is http://careers.baptisthealth.net.