Patient Access Specialist (Financial Clearance)

Trinity Health•Springfield, MA

About The Position

Position Purpose 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. What you will do Specialist I: 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 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 Specialist II Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases 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 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

Requirements

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

Responsibilities

Completes patient registrations/pre-registration processes following department procedures using identified technology systems.
Obtaining accurate demographic, insurance and patient liability information.
Working with multiple department/hospital and web-based systems.
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
Processing financial clearance for complex services including surgical services, observation, and in-house cases
Processing financial clearance 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