About The Position

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.

Requirements

  • Comprehensive knowledge of financial clearance and insurance verification processes
  • Two (2) years of financial clearance experience in an acute care setting.
  • High School Diploma or equivalent.
  • Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
  • National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

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.
  • Researches, collects & analyzes information.
  • Identifies opportunities, develops solutions, & leads through resolution.
  • Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
  • Responsible for distribution of analytical reports.
  • Utilizes multiple system applications to perform analysis, create reports & develop educational materials.
  • Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
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