Financial Clearance Specialist

Job Summary and Responsibilities

As a Financial Professional, you will apply financial expertise to support strategic goals and optimal fiscal health.

Every day you will analyze financial data, interpret complex information, and communicate findings or recommendations to stakeholders, ensuring accuracy and compliance in financial processes.

To be successful in this role, you will demonstrate strong analytical skills, meticulous attention to detail, and excellent communication abilities to guide informed financial decisions.

• Prepares and submits claims to various insurance companies either electronically or by paper.
• Reconciles and ensures all electronic claim files are received and correctly processed by E-commerce and by the payers.
• Fully researches and performs follow up on any claim or payer edits via ETM views. Maintain productivity percentage at the rate established for the Fiscal Year goal.
• Acts as a highly skilled specialist and subject matter expert in EDI requirements and submission format.
• Ensures the accuracy of claims for reimbursement by gathering and processing information needed to complete medical insurance claims.
• Maintains average QA percentage at the rate established for the Fiscal Year goal.

Job Requirements

Required

• High School Diploma or GED

• One (1) year experience in electronic billing processes and proficiency with electronic data applications

• Four (4) years physician billing /collection experience or other related healthcare Provider claims experience in a high volume medical healthcare claim environment

• AHCCCS/ Medicare / government Commercial payer experience

• HCFA 1500 billing experience

• Must have an aptitude for systems applications and be proficient in Excel and all Google/Microsoft Office products

• Must have a working knowledge of claims payment laws, as well as medical terminology

• Must be a detail oriented problem-solver with good time management skills and the ability to work independently or as part of a team

• Must be effective communicators so that they can resolve issues in a fast-paced environment

Preferred

• One (1) year experience in Physician front office to include registering patient demographics and insurance, and verifying eligibility

Where You'll Work

Hello Humankindness

Where Your Passion Meets Purpose: Join Dignity Health Medical Group

Are you a healthcare professional who believes that every patient deserves not just treatment, but unwavering compassion? Do you envision a world where healthcare isn't just a service, but a fundamental right, delivered with integrity and innovation? If so, then Dignity Health Medical Group (DHMG) is where your career finds its true calling.

At Dignity Health Medical Group, you're not just filling a role; you're becoming an architect of healthier communities. We are the employed physician group of Dignity Health Arizona, and our success isn't just measured in numbers, but in the lives we touch and the advancements we champion.

Here's what sets us apart and why you belong with us:

• Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals. From cutting-edge diagnostics to life-changing treatments, your expertise will directly contribute to improved health outcomes.
• A Culture of Growth and Innovation: We don't just practice medicine; we advance it.
• Shaping the Future of Healthcare: DHMG is deeply invested in preparing tomorrow's healthcare providers. We seamlessly blend clinical services with translational and bench research, creating a dynamic environment that augments medical education for residents and students.
• Values-Driven Mission: We are united by a powerful set of principles. If you are deeply committed to social justice, health equity, and are prepared to deliver care in new, innovative ways, your values align perfectly with ours. We believe that everyone, regardless of background, deserves access to high-quality healthcare, and we actively work to make that a reality.
• A Supportive and Collaborative Environment: We believe in building a strong, inclusive team where everyone feels valued and respected.

Are you ready to transcend the ordinary and join a healthcare family where your skills are celebrated, your voice is heard, and your passion for healing finds its ultimate expression?

If you're eager to contribute to an organization that is making a profound difference, where innovation meets compassion, and where your commitment to social justice and health equity will be not just welcomed, but celebrated - then Dignity Health Medical Group is waiting for you.