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Financial Clearance Specialist (Interventional Pain Center) - Job is onsite at OHO (One Hundred Oaks)

Financial Clearance Specialist (Interventional Pain Center) - Job is onsite at OHO (One Hundred Oaks)

Nashville StaffingNashville, TN, US
1 day ago
Job type
  • Full-time
Job description

Interventional Pain Center Position at Vanderbilt University Medical Center

Located in Nashville, Tennessee, Vanderbilt University Medical Center (VUMC) operates at a global crossroads of teaching, discovery, and patient care. It is a community of individuals who come to work each day with the simple aim of changing the world. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Job Summary : Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources.

Key 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.

Technical Capabilities :

  • 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.
  • Core Accountabilities :

  • Organizational Impact : Performs tasks that are typically routine that may impact team's performance with occasional guidance.
  • Problem Solving / Complexity of work : Utilizes some discretion and research to solve routine problems.
  • Breadth of Knowledge : Applies knowledge of standards, established processes and procedure that apply to your own job.
  • Team Interaction : Provides guidance to entry level co-workers.
  • Core Capabilities :

  • Supporting Colleagues : Continuously improves own skills by identifying development opportunities. Seeks to understand colleagues' priorities, working styles and develops relationships across areas. Communicates effectively in an open and courteous manner.
  • Delivering Excellent Services : Invests time to understand the problems, needs of others and how to provide excellent service. Seeks to understand issues, solves routine problems, and raises proper concerns in a timely manner. Listens carefully to understand the issues and provides accurate information and support.
  • Ensuring High Quality : Checks work quality before delivery and asks relevant questions to meet quality standards. Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.
  • Managing Resources Effectively : Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work / service. Displays understanding of how personal actions will impact departmental resources. Uses accurate information and good decision making to consistently achieve results on time and without error.
  • Fostering Innovation : Willingly proposes / accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them. Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action. Embraces changes by keeping an open mind to changing plans and incorporates change instructions into own area of work.
  • Position Qualifications :

  • Responsibilities : Relevant Work Experience
  • Certifications : None
  • Work Experience : 2 years
  • Education : High School Diploma or GED
  • Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE / Vets / Disabled.

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    Financial Clearance Specialist • Nashville, TN, US

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