Financial Clearance Team Leader
Kennedy Krieger
Financial Clearance Team Leader
Kennedy Krieger
Non-profit pediatric neurodevelopmental care provider
The Financial Clearance Team Leader serves as the lead verification specialist for team-designated responsibilities and tasks. The Financial Clearance Team Leader will provide support and assistance to a team of Insurance Verification Specialists (IVSs) and share knowledge formally and informally in both individual and group instruction. This position will serve as a resource to their IVS Team for special insurance verification cases and for gaining insurance clearance in difficult situations.
1. Serves as a working/technical resource to team members. Plans, provides guidance, and facilitates a team of Insurance Verification Specialists’ (IVSs) work activities. 2. Collaborates with the Patient Access Director on daily department operations, to include establishing and adjusting performance standards and workloads for staff. Creates and maintains a positive, knowledge-sharing, and collegial work environment and sets high work and ethical standards by providing mentorship, direction, and support to staff and customers.3. Verifies, interprets, and documents patient health insurance or payment source. 4. Audits the IVS team’s work to ensure complete and accurate information is entered into the system. Communicates findings to the Director and subordinates and indicates areas that require improvement.5. Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.6. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.7. Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.8. Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.9. Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.10. Will assist in ensuring Institute-wide and departmental policies are adhered to, in addition to orienting and precepting new staff.
QUALIFICATIONS:• National Association of Healthcare Access Management (NAHAM) membership required. If no certification through NAHAM, membership within 90 days of employment is required. The department will cover the cost of membership.
EDUCATION:• High School diploma or GED required.• Bachelor’s degree in Healthcare Administration or related degree preferred.
EXPERIENCE:A minimum of five years of previous insurance verification experience, previous formal supervisory experience, or a combination of both, is required.
Non-profit pediatric neurodevelopmental care provider
Kennedy Krieger Institute is a non-profit affiliated with Johns Hopkins that helps children and young adults with developmental disabilities and brain, spinal cord, or musculoskeletal disorders. It combines patient care, special education, research, and professional training delivered through interdisciplinary teams, inpatient units, more than 55 outpatient clinics, and home, community, and school-based programs. It stands out by offering medical care alongside education and community services under one umbrella with a strong Johns Hopkins link and coordinated, team-based care across settings. Its goal is to improve quality of life for its patients through comprehensive, coordinated care, education, research, and training.
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