Financial Clearance Team Leader

Kennedy Krieger Institute

Baltimore, MDFull-time$45–76K/yrSeen 3 days agoSeen in employer's feed 1 day ago

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At a glance

Compensation

$45–76K/yr

Location

Baltimore, MD

Schedule

Full-time

Work Authorization

Not specified

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Job overview

The Financial Clearance Team Leader serves as the lead verification specialist for team‑designated responsibilities and tasks, providing support and assistance to a team of Insurance Verification Specialists, sharing knowledge through instruction, and acting as a resource for special insurance verification cases and difficult clearance situations.

Skills & qualifications

RequiredNice to have

Skills

Insurance VerificationTeam LeadershipPerformance Standards ManagementAuditingEligibility EvaluationSelf‑Pay EstimationPatient CommunicationDocumentationPolicy AdherencePrecepting New Staff

Qualifications

National Association of Healthcare Access Management (NAHAM) MembershipHigh School Diploma or GEDFive Years Insurance Verification ExperienceSupervisory Experience

Full job description

Overview

The Financial Clearance Team Leader serves as the lead verification specialist for team-designated responsibilities and tasks. The Financial Clearance Team Leader will provide support and assistance to a team of Insurance Verification Specialists (IVSs) and share knowledge formally and informally in both individual and group instruction. This position will serve as a resource to their IVS Team for special insurance verification cases and for gaining insurance clearance in difficult situations.

Responsibilities

Serves as a working/technical resource to team members. Plans, provides guidance, and facilitates a team of Insurance Verification Specialists’ (IVSs) work activities.
Collaborates with the Patient Access Director on daily department operations, to include establishing and adjusting performance standards and workloads for staff. Creates and maintains a positive, knowledge-sharing, and collegial work environment and sets high work and ethical standards by providing mentorship, direction, and support to staff and customers.
Verifies, interprets, and documents patient health insurance or payment source.
Audits the IVS team’s work to ensure complete and accurate information is entered into the system. Communicates findings to the Director and subordinates and indicates areas that require improvement.
Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.
Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.
Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.
Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.
Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.
Will assist in ensuring Institute-wide and departmental policies are adhered to, in addition to orienting and precepting new staff.

Qualifications

QUALIFICATIONS:

National Association of Healthcare Access Management (NAHAM) membership required. If no certification through NAHAM, membership within 90 days of employment is required. The department will cover the cost of membership.

EDUCATION: