Inova Health is looking for a dedicated Financial Specialist 2 - Structural Heart to join the team. This role will be full-time day shift from Monday - Friday, 8:30 a.m. - 5:00 p.m.| On-Site The Financial Specialist 2 completes work assignments within established quality standards. Communicates effectively with various audiences using the most appropriate method. Counsels patients on financial liability using available financial counseling tools to achieve maximum reimbursement for patient services. Verifies and enters insurance information and authorization/referral requirements. Contributes to a safe patient care environment. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits:
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules
Financial Specialist 2 - Structural Heart Job Responsibilities:
- Accepts responsibility to review and correct errors before completion and routes to others for review when appropriate.
- Participates in process improvement activities and makes suggestions for new or revised policies and procedures.
- Reports all near misses, accidents, and occurrences for patients, visitors, and staff. Observe the working environment for potential and actual hazards. Attends patient safety training and maintains current safety certifications - if required.
- Responds to problems with a sense of urgency. Uses a logical process to identify the problem's origin and develop appropriate solutions.
- Demonstrates an understanding of frontend functions that initiate patient care such as scheduling, registration, and care management.
- Informs and consults with team members, leaders, and stakeholders about potential barriers that impact team results.
- Anticipates overload and peak work conditions and makes plans/identifies resources to resolve them.
- Demonstrates an understanding of account resolution processes such as benefit verification, insurance classification, billing complaint claims, and account follow-up.
- May perform additional duties as assigned.
Minimum Qualifications:
- Experience - Three years of patient access experience
- Education - High School or GED
Preferred Qualifications:
- Demonstrated experience securing authorizations for both inpatient and outpatient procedures, with an ability to navigate complex payer requirements.
- Strong communication and interpersonal skills, including the ability to assist patients with insurance-related inquiries and connect them to appropriate financial assistance resources.
- Knowledge of National Coverage Determination (NCD) guidelines and experience reviewing medical records for reimbursement compliance.
- Proven ability to collaborate effectively within a multidisciplinary clinical team, particularly in a specialized setting such as structural heart or transplant care.
- Detail-oriented with strong organizational skills, ensuring accuracy and timeliness in financial processes and patient support.
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