Patient Access Specialist - Financial Clearance

Trinity Health•Springfield, MA

1d•Hybrid

About The Position

Completes patient registrations/pre-registration processes following department procedures using identified technology systems. Processes include obtaining accurate demographic, insurance and patient liability information. Responsible for working with multiple department/hospital and web-based systems. This position may be hybrid or remote.

Requirements

Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care setting
Minimum of five (5) years of financial clearance / authorization experience in an acute care setting
Experienced in complex facility based ancillary testing across multiple facilities/states
Minimum High school or equivalent
Two years' experience in an accredited hospital or physician's office (5 years for level II)
Knowledge of medical terminology and medical insurances
Applicants for this position must be authorized to work for any employer in the U.S. We are unable to sponsor an employment visa for this position.

Nice To Haves

Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases

Responsibilities

Responsible for all pre-service account’s financial clearance and collection prior to the date of service
Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections
Begins the overall patient experience and initiates the billing process for any services provided by the hospital
Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling