Financial Clearance Specialist full-time - remote

Trinity Health • Boise, ID

1d • Remote

About The Position

Position Purpose: Saint Alphonsus Health System is hiring for our Financial Clearance team. This position is full-time working office hours (Monday-Friday). The Financial Clearance Specialist obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient accounting system. The Pre-Service Specialist is also responsible for insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases. Our ideal candidate has experience with EPIC, has worked in healthcare, and is local to the Treasure Valley in Idaho. Position Highlights and Benefits: 40 hours per week Monday – Friday during traditional office hours Position is remote (work from home); however, there is required in-person training during initial orientation in Boise, ID.

Requirements

• High school diploma or equivalent required. Associate degree preferred.
• At least two (2) years of experience in financial clearance.
• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Nice To Haves

• Comprehensive knowledge of financial clearance and insurance verification processes with at least two (2) years of financial clearance experience in an acute care setting.
• Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities.
• Data entry skills (50-60 keystrokes per minute).

Responsibilities

• Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
• Ensures patient safety by authenticating patient identity throughout all essential functions.
• Meets or exceeds established customer service, productivity and quality standards in all essential functions.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence.
• Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions.
• Responsible for pre-registering the patient for upcoming visit(s).
• Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
• Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system.
• Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary.
• Informs patient/guarantor of their liabilities and collects appropriate patient liabilities.
• Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required.
• Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.
• May serve as relief support, if the work schedule or workload demands assistance to departmental personnel.
• May also be chosen to serve as a resource to train new employees.
• Must be able to sit or stand for extended periods of time and use a telephone headset.
• Completion of regulatory/mandatory certifications and skills validation competencies preferred
• Working knowledge of medical terminology desirable.
• Basic computer skills are required.
• Excellent communication (verbal and written) and organizational abilities.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Benefits

• When Saint Alphonsus takes care of you, you can take better care of our patients.
• We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers.
• Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
• We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
• We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.

What This Job Offers

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