Phoenix, AZ, 85067, USA
1 day ago
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** **MINIMUM** + 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. + In addition to possessing solid office and analytical skills, they must also 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 Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles. DHMG is also heavily involved in preparing tomorrow's healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Health's mission and St. Joseph's guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system, DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised. Look for us on Facebook and follow us on Twitter. For the health of our community ... we are proud to announce that we are a tobacco-free campus **Pay Range** $23.00 - $32.49 /hour We are an equal opportunity/affirmative action employer.
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