Clinical Resource Associate Part-Time Boise

Trinity Health • Boise, ID

10d • Hybrid

About The Position

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. Saint Alphonsus is looking to hire a Clinical Resource Associate for our Clinical Management Team. This position will be located in Boise with opportunity at times to work from home. This part time position will be one week on and one week off (Mon-Fri) and is benefit eligible. As the Clinical Resource Associate you will analyzes patient clinical information to determine correct admission status for proper billing and reimbursement purposes. Reviews concurrent clinical information for medical necessity and provide information to payors to ensure continued authorization and payment. Assists with the facilitation of delivery of services on behalf of patients, physicians, and the CRM team.

Requirements

• One year of experience in physician office, hospital, or insurance company required.
• High School Diploma or equivalent required.

Nice To Haves

• Experience in hospital as unit clerk, Accredited Record technician (ART), Licensed Practical Nurse (LPN) or financial counselor preferred.
• Successful completion of medical terminology course or equivalent experience preferred.
• Knowledge in medical insurance or background preferred.

Responsibilities

• Analyzes patient clinical information to determine correct admission status for proper billing and reimbursement purposes.
• Reviews concurrent clinical information for medical necessity and provide information to payors to ensure continued authorization and payment.
• Assists with the facilitation of delivery of services on behalf of patients, physicians, and the CRM team.

Benefits

• Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees