SHEPHERD UNIVERSITY
Financial Clearance Specialist
Atlanta, GA
Sponsorship not specifiedDetected 12 days ago
ComplianceEpicEHR/EMRPatient CareResearchLeadershipCommunicationMicrosoft Office
About the role
- An elite center ranked by U.S. News as one of the nation's top hospitals for rehabilitation, Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems.
- Shepherd is the only rehabilitation facility in the nation with an intensive care unit on-site, allowing us to care for the most complex patients and begin the rehabilitation process sooner.
- Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again.
Responsibilities
- Perform POS collections, maintain cash drawer accuracy, process credit card transactions, and communicate effectively with patients and guarantors regarding balances
- Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process.
- With five decades of experience, Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain.
- You will enjoy career growth, strong relationships with co-workers, strong support from leadership, and fun activities that have ke pt over 1 2% of staff members working at Shepherd for more than 20 years.
Requirements
- Serve as the first point of contact for explaining Shepherd Center's Financial Assistance Program (FAP) and coordinate submission of required documentation
- Meet with patients and families in clinics or at the bedside as required, demonstrating compassion, professionalism, and financial expertise
- Ensure compliance with CMS-required notices, the No Surprises Act, and price transparency requirements, including delivery and explanation of patient estimates
- High School Diploma or GED required
Nice to have
- Associates or Bachelor's degree preferred
- CPAR or CHAA preferred
- CHAM or HFMA CRCR a plus
- Sedentary work with occasional standing, walking, or lifting up to 15 pounds.
- No potential for exposure to blood and body fluids.
Skills
- Strong working knowledge of commercial, managed care, and governmental insurance plans
- Demonstrated ability to interpret benefits, authorizations, and payer determinations independently
- Strong math aptitude and financial acumen
- Excellent written and verbal communication skills
- Proficiency with Epic and Microsoft Office tools
Compensation
- Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again.
Benefits
- Provide expert guidance to patients and families by explaining insurance benefits, coverage limitations, estimates, and financial responsibility for planned or received services
- Interpret and explain benefits, explanations of benefits (EOBs), authorizations, denials, and payer determinations to patients and families
- Document benefit details, estimates, and financial discussions accurately within the EHR
- Collaborate closely with Insurance Verification Specialists, escalating complex coverage, authorization, or financial clearance issues as needed
- Partner with Patient Financial Services, Case Management, Managed Care, and insurance carriers to resolve complex financial and coverage scenarios
- Maintain working knowledge of registration workflows and provide cross-coverage support for outpatient clinics as needed
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This listing is sourced directly from SHEPHERD UNIVERSITY's careers page and normalized into a canonical job model.