Provides seamless pre-registration based on HIPAA guidelines prior to service for scheduled ambulatory appointments and hospital scheduled admissions throughout the Geisinger Health System. Completes insurance verification. Documents any out-of-pocket expenses and acquire any necessary referrals.
Conducts outbound calls to patients to complete the pre-registration process which consists of utilizing the department scripting which includes patient identification, customer service, registration and explanation of benefits prior to date of service.
Reviews insurance benefits with patient and attempts to collect copays, deductible and coinsurance along with outstanding balance and pre-service payments to contribute to department point of service collections.
The Financial Clearance Specialist will be responsible for providing customer service excellence in a professional manner and will ultimately serve as the voice for Geisinger Health System when interacting with the public daily utilizing CICARE standards.
Performs duties to support the goals and objectives of the My Visit pre-registration department for Geisinger Health System.
Directly accountable to the Supervisor, Revenue Cycle.
SPECIFIC POSITION DUTIES:
1. Basic knowledge sufficient to perform recurring assignments with a reasonable degree of independence under normal supervision and after a customary orientation period.
2. Participates in training, as well as cross training within the department. Attends all necessary educational sessions related to job functions. To include but not limited to new as well as refresher training on departmental processes, systems and insurance updates.
3. Adheres to all GHS policies, procedures, protocols and standards of care.
4. Attends and participates in departmental staff meetings. Responsible for reading and reviewing all emails received from management and training and development.
COMPETENCIES AND SKILLS:
Demonstrates a positive, supportive, respectful and helpful attitude in interactions with all department customers (patients, physicians and other healthcare team members).
Demonstrates the ability of being cross trained and can work within all systems.
Provides and maintains patient privacy in compliant with HIPAA guidelines and privacy practices, patient confidentiality and patient rights.
Demonstrates a calm, professional manner. Offers and acts on constructive feedback.
Demonstrates time management skills effectively to perform financial clearance while meeting department productivity with a high level of customer service.
Demonstrates flexibility in response to unexpected changes in work assignments, staffing and scheduling.
Demonstrates basic knowledge of Microsoft Outlook application and GHS software systems and their integration.
EDUCATION AND/OR EXPERIENCE:
High school diploma or equivalent is required.
Previous experience recommended in Healthcare environment with focus on Registration or Financial Services.
Previous experience in insurance verification and insurance benefits preferred.
Overall knowledge of the revenue cycle and accounts receivable preferred.
Experience with EPIC Grand Central, Cadence, Sharepoint and Patient Financial systems preferred.
Successful completion of the Revenue Cycle training program.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER HOLY SPIRIT is a strong and growing healthcare provider serving south-central Pennsylvania. Geisinger Holy Spirit includes its flagship Geisinger Holy Spirit Hospital, a 311-bed Joint Commission accredited acute care facility located in Camp Hill, Pennsylvania. Geisinger Holy Spirit employs more than 2,600 people and has more than 500 physicians and advanced practitioners on its hospital medical staff. Sponsored by the Sisters of Christian Charity, Geisinger Holy Spirit delivers patient-centered care guided by Catholic values and the Ethical and Religious Directives of Healthcare. Geisinger Holy Spirit provides a comprehensive array of both inpatient and outpatient services across the continuum of care, including acute care, home health, emergency medical services, physician practices, and a host of outpatient facilities located throughout south-central Pennsylvania.
One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit geisinger.org or connect with us onFacebook, Instagram, LinkedInand Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.