Specialist II, Financial Clearance, Patient Access

About the role

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.

Responsibilities

• 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.
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.

Requirements

• 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.
• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Must be proficient in the use of Patient Registration/Patient Accounting systems & related software systems.

Pay

Hourly range: $19.58 – $28.41. Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Roles under 0.3 FTE (16 hours weekly) or per diem are non-benefit eligible.

Benefits

• Comprehensive benefit packages — medical, dental, vision, mental health, paid time off, 403(b), education assistance, and voluntary benefits (pet insurance, accident insurance, hospital indemnity, and others) — available from the first day of employment (for benefit-eligible roles).
• Work/life balance with flexible schedules.
• Free onsite parking.
• Referral Rewards Program.

Schedule

Part-time, Day Shift. Location: Silver Spring, MD. Roles under 0.3 FTE (16 hours weekly) or per diem are non-benefit eligible.

About Holy Cross Health

Holy Cross Health is a Catholic, not-for-profit health system serving Montgomery and Prince George's counties in Maryland. Founded in 1963 by the Sisters of the Holy Cross, it is a member of Trinity Health of Livonia, Michigan. Holy Cross Hospital in Silver Spring is one of the largest hospitals in Maryland, and Holy Cross Germantown Hospital is the first hospital in the nation built on a community college campus with an educational partnership. The Holy Cross Health Network operates primary-care practices, affordable health centers, and a wide range of community-based health and wellness programs. Specialty care, home care, and hospice services round out a high-quality, coordinated continuum of care aimed at improving health and letting people live life on their own terms.