Financial Clearance Specialist

Position Details

Department: PCH-MAIN | CBO Financial Clearance
Category: Patient Access
Location: Phoenix
Employee Type: Regular
Posting #: 419446
Posted On: 10/19/2018

Position Summary

The Pre Access Specialist I is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled clinic visits and office based procedures. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.

Position Duties

  1. Contacts the patient's parent/responsible party by phone and obtains all current demographic and insurance and employer information, making updates and creating accounts in the EMR system, as appropriate.
  2. Courteously answers the telephone and answers all questions in a timely manner. Refers uninsured and underinsured patients to the Financial Counselor via phone transfer and/or work queue assignment.
  3. Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for PCH.
  4. Notifies the patient/guarantor of any applicable deductible, co-pay, lifetime maximum, pre-existing condition restrictions, previous unpaid liabilities, and other out-of-pocket expenses and request payment.
  5. Obtains all necessary authorizations for scheduled professional and hospital procedures and office visits and accurately documents all information in the appropriate fields and/or account notes.
  6. Organizes, prioritizes and reviews daily work activity to ensure that complete, accurate and compliant pre-registration has been performed.
  7. Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
  8. Verifies insurance benefits using an automated verification solution tool, insurance carrier websites, or by phone, and accurately documents all information in the appropriate fields and/or account notes.
  9. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

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