Specialist I, Financial Clearance Patient Access
Trinity Health • Davenport, IA4d
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Specialist I, Financial Clearance Patient Access- FT 1.0
Trinity Health•Davenport, IA
About The Position
The Specialist I, Financial Clearance Patient Access is responsible for financial clearance of pre-service accounts and collection before the date of service. The role obtains and verifies insurance information, validates benefits, obtains authorizations, and collects pre-service payments. It helps initiate the patient experience and billing process for hospital services. The position researches, collects, and analyzes information; prepares and distributes analytical reports; and supports operational projects and performance improvement. It uses multiple system applications to analyze data, create reports, and develop educational materials. The Specialist synthesizes operational data into detailed summaries and graphical presentations, identifies trends and practical solutions, and helps demonstrate program progress, return on investment, and impact to support leadership decisions. The role applies knowledge of Trinity Health policies and processes and maintains working knowledge of applicable laws, regulations, compliance requirements, and the Code of Conduct. The position requires a comprehensive knowledge of financial clearance and insurance verification processes, with financial clearance experience in an acute care setting.
Requirements
- High school diploma or equivalent.
- Two to five years of experience in an area such as scheduling, financial clearance, or patient access.
- Two years of financial clearance experience in an acute care setting.
- National certification in HFMA CRCR or NAHAM CHAA required within one year of hire.
- Proficiency with Patient Registration/Patient Accounting systems and related software.
- Comprehensive knowledge of financial clearance and insurance verification processes.
Nice To Haves
- Associate degree preferred.
- Comprehensive scheduling knowledge, with mastery in at least three modalities and three years of scheduling experience in an acute care setting.
- Experience with complex facility-based ancillary testing across multiple facilities or states.
- Strong knowledge of third-party and government payer billing and reimbursement guidelines, department performance standards, policies, and procedures.
Responsibilities
- Research, collect, and analyze information and identify opportunities for solutions and resolution.
- Collaborate on performance improvement activities based on program efficiency and patient experience outcomes.
- Distribute analytical reports.
- Use system applications to perform analysis, create reports, and develop educational materials.
- Research and compile information for ad hoc operational projects and initiatives.
- Synthesize and analyze data and provide detailed summaries, including graphical presentations showing trends and recommending practical options or solutions.
- Use program and operational data and measurements to define and demonstrate progress, ROI, and impacts.
- Complete financial clearance and collection for pre-service accounts before the date of service.
- Obtain and verify accurate insurance information, validate benefits, obtain authorizations, and collect pre-service payments.
- Apply applicable policies, procedures, laws, regulations, and compliance requirements while maintaining confidentiality and safe work practices.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
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