Full-Time

Financial Clearance Specialist

Posted on 11/27/2024

Vanderbilt Health

Vanderbilt Health

10,001+ employees

Healthcare

Junior

Nashville, TN, USA

Category
Financial Planning and Analysis (FP&A)
Risk Management
Finance & Banking
Required Skills
Customer Service
Requirements
  • High School Diploma or GED
  • 2 years relevant work experience
  • Problem Solving (Novice): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
  • Data Entry (Novice): The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
  • Customer Service (Novice): A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
  • Insurance Regulatory Knowledge (Intermediate): Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims, payment and coverage. Ability to interpret and explain rules and regulations that are ambiguous or unclear.
Responsibilities
  • Obtains certification from insurance companies for all office visits.
  • Verifies insurance information and registers cases in tracking system.
  • Evaluates patient assets and liabilities to determine ability to pay.
  • Reviews alternatives to admission and guides patient in applying for financial assistance.
  • Completes pre-certification, credit applications, and other necessary paperwork.
  • Performs investigative and follow-up work relating to reimbursement issues.
  • The responsibilities listed are a general overview of the position and additional duties may be assigned.
  • Performs tasks to support and obtains pre-certifications from insurance companies

Company Stage

N/A

Total Funding

N/A

Headquarters

Nashville, Tennessee

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Vanderbilt Health's receipt of a $13 million Department of Defense grant for Rett syndrome research highlights its leadership in cutting-edge medical trials.
  • Recognition as one of the safest hospitals in the U.S. by the Leapfrog group enhances Vanderbilt's reputation and attractiveness to potential employees.
  • The opening of new facilities, like the Vanderbilt Orthopaedics Lebanon, indicates growth and potential career opportunities within the organization.

What critics are saying

  • The investigation over the release of transgender health records could damage Vanderbilt's reputation and trust with patients.
  • Frequent leadership changes, such as the appointment of a new hospital president, may lead to strategic shifts and uncertainty for employees.

What makes Vanderbilt Health unique

  • Vanderbilt Health's integration of Epic EHR Software enhances interoperability, setting it apart in the healthcare sector by streamlining patient data across its network.
  • The establishment of the Vanderbilt Center for Transplant Science underlines its commitment to specialized medical research and innovation.
  • Vanderbilt's strategic expansion, such as the new clinic in Newburgh, Indiana, demonstrates its proactive approach to increasing healthcare accessibility.

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