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 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.

3. Verifies, interprets, and documents patient health insurance or payment source.

4. 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.

5. Evaluates eligibility for alternate sources of financing care and refers to the appropriate agency where possible.

6. Estimates self-pay portions after benefits have been determined, such as deductibles, co-pays, and non-covered services.

7. Maintains regular communication/correspondence/follow-up with patients and families to keep them informed of clearance and self-pay issues.

8. Maintains regular communication and follow-up with program and departmental contacts regarding pending insurance, coverage, and other payment-related issues.

9. Forwards supporting documentation to staff in registration, patient accounting, and clinical areas, as applicable.

10. 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:

• High School diploma or GED required.

• Bachelor’s degree in Healthcare Administration or related degree preferred.

EXPERIENCE:

A minimum of five years of previous insurance verification experience, previous formal supervisory experience, or a combination of both, is required.

Benefits

We require full COVID vaccination or documentation of medical and/or religious exemption(s) approval for this job as we are a healthcare institution committed to putting health and safety first for our patients, students, employees, and the communities we serve.

Kennedy Krieger Institute offers excellent benefits including medical, dental, vision, 401K with match, tuition reimbursement, free parking and child care subsidies! In addition, we offer rich professional development opportunities.

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Vacancy ID 10029

Pos. Category Professional/Management

Job Location : Street 1741 Ashland Ave

# of Hours 40.00

Job Locations US-MD-Baltimore

Pos. Type Regular Full Time

Department : Name Care Management

Equal Opportunity Provider & Employer M/F/Disability/ProtectedVet