Financial Clearance Team Leader at Kennedy Krieger Institute

Baltimore, Maryland, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Apr, 26

Salary

75603.63

Posted On

30 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Team Leadership, Mentorship, Performance Standards, Workload Management, Auditing, Insurance Clearance, Patient Access, Financial Clearance, Eligibility Evaluation, Self-Pay Estimation, Documentation Forwarding, Policy Compliance, Customer Service, Staff Orientation

Industry

Hospitals and Health Care

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 1. Serves as a working/technical resource to team members. Plans, provides guidance and facilitates a team of Insurance Verification Specialists’ (IVSs) work activities. 2. Collaborates with the Patient Access Director to establish and adjust 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.3. Responsible for assisting the Patient Access Director in daily department operations.4. Verifies, interprets, and documents patient health insurance or payment source. 5. 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.6. Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.7. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.8. Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.9. Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.10. Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.11. Other specific duties may include: hospital policy compliance, payment requirements, customer service, and orientation/preceptor of new staff. Qualifications QUALIFICATIONS: National Association of Healthcare Access Management ( EDUCATION: High School diploma or GED required. Bachelor’s degree in Healthcare Administration or related degree preferred. EXPERIENCE: At least five years of previous insurance verification experience, previous formal supervisory experience, or a combination of both, is required. Minimum pay range USD $45,059.66/Yr. Maximum pay range USD $75,603.63/Yr.

Responsibilities

The Financial Clearance Team Leader acts as the lead verification specialist, providing support, guidance, and knowledge sharing to a team of Insurance Verification Specialists (IVSs) on complex insurance cases. This role involves collaborating on performance standards, assisting with daily department operations, and ensuring accurate insurance verification and documentation.