Specialist I, Financial Clearance, Patient Access- Full time

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

Schedule

Monday-Friday 09:00-17:30. Occasional Weekends (either Saturday or Sunday).

Minimum Qualifications

• 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