Stanford Children's Health | Lucile Packard Children's Hospital Stanford
Financial Clearance Coordinator - PFS-PASC-Authorization (1.0 FTE, Days)
Stanford Children's Health | Lucile Packard Children's Hospital Stanford, Palo Alto, California, United States, 94306
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At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.Job Summary
The Financial Clearance Coordinator is responsible for managing patient registration and insurance-related tasks. This includes identifying a patient’s insurance coverage or financial resources for covering medical care, verifying insurance benefits, and providing auto-generated cost estimates. They also assist patients with questions about insurance benefits and specific payor requirements, while addressing routine customer service inquiries and issues. Additionally, the coordinator ensures the completion of necessary admission and registration processes and secures required documentation for billing and compliance purposes.Essential Functions
Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.Act as a registration expert and liaison between the practice operations and the patient financial advocates.Serve as point of contact for addressing registration and insurance issues, patient concerns, and billing insurance questions to the extent possible before escalating to other financial advocate departments (billing, financial counselors).Explain financial obligations, billing process, and collect payment or establish payment arrangements with patients as necessary for planned treatment and/or procedures.Ensure secure handling and accurate recording of payments collected prior to scheduled visits.Responsible for Cost Estimate protocols automated through EPIC EMR system.Maintain professional communication with various staff, physicians, and patients regarding financial clearance services.Effectively determine primary, secondary, and tertiary liability by coordinating payer plan benefits.Communicate liabilities directly to patients and provide estimates and education on key insurance terms and rules.Document financial clearance process and discussions in the EMR.Connect patients to Financial Counselors for obtaining financial assistance.Cross-train and be responsible for financial clearance, with potential for service line rescheduling workflows.Maintain the assigned daily volumes while meeting productivity requirements.Manage communication via In-basket messages, emails, and other methods for completeness and accuracy of information needed to fulfill financial clearance requirements.Review and update member registration including processing real-time payor eligibility for membership eligibility.Other tasks/duties as assigned.Minimum Qualifications
Education : High school diploma or GED equivalent.Experience : Two (2) years of progressively responsible and directly related work experience.Licensure/Certification : None required.Knowledge, Skills, & Abilities
Ability to analyze operational and procedural problems and develop, recommend and evaluate proposed solutions. Ability to speak and write effectively at a level appropriate for the job. Ability to work well with individuals at all levels of the organization. Knowledge of computer systems and software used in functional area. Knowledge of Medical Terminology. Knowledge of Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, GHPP, Healthy Families, etc.).Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.Pay RangeCompensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range.Equal Opportunity EmployerLucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
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At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.Job Summary
The Financial Clearance Coordinator is responsible for managing patient registration and insurance-related tasks. This includes identifying a patient’s insurance coverage or financial resources for covering medical care, verifying insurance benefits, and providing auto-generated cost estimates. They also assist patients with questions about insurance benefits and specific payor requirements, while addressing routine customer service inquiries and issues. Additionally, the coordinator ensures the completion of necessary admission and registration processes and secures required documentation for billing and compliance purposes.Essential Functions
Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.Act as a registration expert and liaison between the practice operations and the patient financial advocates.Serve as point of contact for addressing registration and insurance issues, patient concerns, and billing insurance questions to the extent possible before escalating to other financial advocate departments (billing, financial counselors).Explain financial obligations, billing process, and collect payment or establish payment arrangements with patients as necessary for planned treatment and/or procedures.Ensure secure handling and accurate recording of payments collected prior to scheduled visits.Responsible for Cost Estimate protocols automated through EPIC EMR system.Maintain professional communication with various staff, physicians, and patients regarding financial clearance services.Effectively determine primary, secondary, and tertiary liability by coordinating payer plan benefits.Communicate liabilities directly to patients and provide estimates and education on key insurance terms and rules.Document financial clearance process and discussions in the EMR.Connect patients to Financial Counselors for obtaining financial assistance.Cross-train and be responsible for financial clearance, with potential for service line rescheduling workflows.Maintain the assigned daily volumes while meeting productivity requirements.Manage communication via In-basket messages, emails, and other methods for completeness and accuracy of information needed to fulfill financial clearance requirements.Review and update member registration including processing real-time payor eligibility for membership eligibility.Other tasks/duties as assigned.Minimum Qualifications
Education : High school diploma or GED equivalent.Experience : Two (2) years of progressively responsible and directly related work experience.Licensure/Certification : None required.Knowledge, Skills, & Abilities
Ability to analyze operational and procedural problems and develop, recommend and evaluate proposed solutions. Ability to speak and write effectively at a level appropriate for the job. Ability to work well with individuals at all levels of the organization. Knowledge of computer systems and software used in functional area. Knowledge of Medical Terminology. Knowledge of Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, GHPP, Healthy Families, etc.).Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.Pay RangeCompensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range.Equal Opportunity EmployerLucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
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