Inpatient Financial Clearance Representative I (Healthcare)
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Location: Onsite at Lowell General Hospital, 55 Technology Drive, Lowell, Massachusetts; remote flexibility may be available at the manager's discretion after training. Schedule: Monday through Friday, 8:30 AMβ5:00 PM EST.
Salary: $21.53β$26.91 per hour for full-time employment.
Company
provides healthcare services through its hospital and clinical operations.
What you will do
- Verify insurance coverage, eligibility, benefits, and coordination of benefits for urgent inpatient and observation admissions.
- Submit timely payer notifications by phone, fax, or payer portals, including Medicaid birth notifications when applicable.
- Enter and maintain financial, insurance, eligibility, notification, and documentation data in hospital systems.
- Identify non-covered services and financial-risk concerns, escalating them to Financial Counseling and department leadership.
- Monitor work queues, denied claims, and at-risk accounts; support timely resolution and appeals.
- Coordinate with Case Management, Admitting, clinical teams, supervisors, and managers regarding level-of-care changes and account status.
Requirements
- High school diploma or equivalent.
- At least two years of experience in a hospital, physician, or financial setting.
- Working knowledge of computer systems and basic Excel and reporting skills.
- Strong verbal and written communication, patient-service focus, organization, prioritization, and decision-making skills.
- Ability to work independently and collaboratively while adapting to changing workflows and priorities.
- Ability to work onsite in Lowell, Massachusetts during the specified EST schedule.
Nice to have
- Three years of experience in a hospital, physician, or financial setting.
Culture & Benefits
- Collaborative working relationships across hospital departments and clinical teams.
- Training and shadowing support for new team members.
- Comprehensive total rewards supporting health, financial security, and career growth.
- Work involves frequent sitting, occasional standing and walking, and lifting 5β10 pounds.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β