Sr. Financial Clearance Clinical Practice Specialist

You Belong Here ! Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.

What Awaits You?

• Career growth and development

• Diverse and collaborative working environment

• Affordable and comprehensive benefits package including Tuition Reimbursement

This position will support SOM Otolaryngology & SOM Oral Surgery.

The Senior Financial Clearance Clinical Practice Specialist supports the success of a high-performing shared services organization by helping to champion and drive the long-term Johns Hopkins Medicine Shared Services vision. Provides monthly clearance related metrics to the assigned service area and works with the clinical department to mitigate any workflow barriers that are resulting in the need for overrides or inability to initiate authorization timely. Works closely with assigned service area Production Unit Managers and A/R teams for full revenue cycle picture (authorization to payment/denial trends). This position will be responsible for processing all administrative and financial components of financial clearance for assigned service area, ability to escalate requests in a timely manner and triage complex cases. This position will serve as a departmental contact for assigned service area and demonstrate an understanding of their needs, provide solutions and resolve escalations for the assigned service area. The Senior Financial Clearance Clinical Practice Specialist must have the ability to cross train staff to perform duties include managing by service line, and/or complex multi-payer insurance verification and benefit eligibility validation and prior authorizations, including obtaining and completing documentation for pre-certification and referrals/authorizations.

Take a tour of our campus:

https://www.youtube.com/watch?v=KnNaPzR-AEE

Hours:

Full time (40 hours)

Day Shift, Weekdays

Location: Remote

Our organization is registered for remote work in the following states: MD, VA, DC, FL, PA, and DE. To be considered for a remote or hybrid position, relocation is required to one of the registered states if not currently residing in one.

Requirements:

• Requires minimum of Associates degree. Work experience may substitute degree (i.e. 2 years of experience for 1 year of education)
• Minimum 7 years of experience in healthcare revenue cycle, medical office, hospital, patient access or related experience
• Working knowledge of applicable Federal, State, and local laws and regulations desired
• Working knowledge of CPT and ICD-10 codes as they relate to financial clearance
• Familiar with multiple payer insurance verification and pre-certification guidelines
• Able to obtain payer specific details, as necessary, to ensure accurate coordination

Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes:

• Full medical, dental, and vision plans,
• Retirement plans,
• Paid time off (PTO),
• Tuition reimbursement for you and your dependents,
• Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins
• Tell a friend and get paid! Ask about our Employee Referral Program Bonus!
• And more! Visit https://jhh.mybenefitsjhhs.com/

Important Notices: ***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Effective 6/1/23, employees at Johns Hopkins All Children's Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. We encourage you to explore our current opportunities.

***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.