Financial Clearance Specialist PRN (As Needed)
Surgical Weight Loss Clinic
#2212323
Your Role:
Assists in financial clearance relating to patient care with occasional guidance. Screens patients for referral to other funding resources.
Qualifications: High School Diploma or GED (or equivalent experience) and 2 years relevant experience
Shift: PRN (As Needed), Monday - Friday, 8:00 AM - 5:00 PM
Unit Summary:
Welcome to the Vanderbilt Weight Loss Center. The clinic is located at Vanderbilt Health at One Hundred Oaks, 719 Thompson Lane Suite 22000 Nashville, TN 37204. We provide both medical and surgical weight loss for the adult population. We are looking for highly motivated individuals that would like to join a growing clinic.
Our excellent, patient centered care is directed and/or delivered by a collaborative team made up of Attending Physicians, Nurse Practitioners, Dietitians, Psychologists, a Program Coordinator and Licensed Clinical Social Workers. The Leadership Team is comprised of a Medical Director, a Clinic Manager, an Administrative Manager, and an Administrative Assistant. Clinic staff members include Registered Nurses, Licensed Practical Nurses, Medical Assistants, and Patient Services Representatives and Financial Clearance Specialist.
We are committed to providing excellent service to our patients and a supportive and caring work environment for our staff.
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
* US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
* The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
* Magnet Recognition Program: Received our third consecutive Magnet designations.
* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
* Human Rights Campaign Healthcare Equality Index: 6th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
KEY RESPONSIBILITIES:
- Obtains certification from insurance companies for all office visits.
- Verifies insurance information and registers cases in tracking system.
- Evaluates patient assets and liabilities to determine ability to pay.
- Reviews alternatives to admission and guides patient in applying for financial assistance.
- Completes pre-certification, credit applications, and other necessary paperwork.
- Performs investigative and follow-up work relating to reimbursement issues.
- The responsibilities listed are a general overview of the position and additional duties may be assigned.
TECHNICAL CAPABILITIES:
INSURANCE REGULATORY KNOWLEDGE (INTERMEDIATE):- Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims, payment and coverage. Ability to interpret and explain rules and regulations that are ambiguous or unclear.
CUSTOMER SERVICE (NOVICE):- A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
DATA ENTRY (NOVICE):- The ability to transcribe information from the original source into an electronic system according to written and verbal instructions efficiently and accurately.
PROBLEM SOLVING (NOVICE):- Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.
CORE ACCOUNTABILITIES:
- Organizational Impact: Performs tasks that are typically routine that may impact team's performance with occasional guidance.
- Problem Solving/ Complexity of work: Utilizes some discretion and research to solve routine problems.
- Breadth of Knowledge: Applies knowledge of standards, established processes and procedure that apply to your own job.
- Team Interaction: Provides guidance to entry level co-workers.
CORE CAPABILITIES:
SUPPORTING COLLEAGUES (S2):
- - Develops Self and Others: Continuously improves own skills by identifying development opportunities.
- - Builds and Maintains Relationships : Seeks to understand colleagues priorities, working styles and develops relationships across areas.
- - Communicates Effectively: Openly shares information with others and communicates in a clear and courteous manner.
DELIVERING EXCELLENT SERVICES (S2):
- - Serves Others with Compassion: Invests time to understand the problems, needs of others and how to provide excellent service.
- - Solves Complex Problems: Seeks to understand issues, solves routine problems, and raises proper concerns tosupervisors in a timely manner.
- - Offers Meaningful Advice and Support: Listens carefully to understand the issues and provides accurate information and support.
ENSURING HIGH QUALITY (S2):
- - Performs Excellent Work: Checks work quality before delivery and asks relevant questions to meet quality standards.
- - Ensures Continuous Improvement: Shows eagerness to learn new knowledge, technologies, tools or systems and displays willingness to go above and beyond.
- - Fulfills Safety and Regulatory Requirements: Demonstrates basic knowledge of conditions that affect safety and reports unsafe conditions to the appropriate person or department.
MANAGING RESOURCES EFFECTIVELY (S2):
- - Demonstrates Accountability: Takes responsibility for completing assigned activities and thinks beyond standard approaches to provide high-quality work/service.
- - Stewards Organizational Resources: Displays understanding of how personal actions will impact departmental resources.
- - Makes Data Driven Decisions: Uses accurate information and good decision making to consistently achieve results on time and without error.
FOSTERING INNOVATION (S2):
- - Generates New Ideas: Willingly proposes/accepts ideas or initiatives that will impact day-to-day operations by offering suggestions to enhance them.
- - Applies Technology: Absorbs new technology quickly; understands when to utilize the appropriate tools and procedures to ensure proper course of action.
- - Adapts to Change: Embraces change by keeping an open mind to changing plans and incorporates change instructions into own area of work.
