Financial Clearance Specialist II - Remote

Trinity Health • Columbus, OH

2d • Remote

About The Position

The Specialist, Financial Clearance II obtains demographic, clinical, financial and insurance information in the process of obtaining medical authorizations for patient tests, procedures and admissions. In addition, the FC Specialist also performs registration activities including response to real-time eligibility verification and financial clearance.

Requirements

• High School Diploma or GED required
• Minimum of three years experience in a physician's office, clinic, hospital business office, or related area dealing with prior authorizations.
• Effective communication skills
• Demonstrates working knowledge and understanding of both governmental and private third-party payor benefits, requirements and regulations.
• Demonstrates working knowledge of ICD-9 and CPT coding and medical terminology.

Responsibilities

• Pre-determines need for payer notification/authorization for scheduled medical services
• Investigates confidential patient financial data for purposes of determining patient authorization requirements.
• Initiates and secures prior authorization if required.
• Functions as a liaison between physician, office staff, insurance companies, patients and hospital in obtaining vital financial information.

Benefits

• medical, dental, and vision with coverage starting on day one
• Retirement savings account with employer match starting on day one
• Generous paid time off programs
• Employee recognition programs
• Tuition/professional development reimbursement
• Relocation assistance (geographic and position restrictions apply)
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
• Employee Referral Rewards program
• DailyPay
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED