Specialist I, Financial Clearance, Patient Access-Full time days
About The Position
Purpose: 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. Note: "patients" refers to patients, clients, residents, participants, customers, members Work Focus: 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. Process Focus: 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. Functional Role: 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.
Requirements
- 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.
- 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.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
