Specialist II, Financial Clearance, Patient Access- Full time

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.
• Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
• 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.
• 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.
• 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.
• Processes accounts’ financial clearance and collection prior to the date of service.
• Responsible for all pre-service account’s financial clearance and collection prior to the date of service.
• Processes and distributes 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

• 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.

Qualifications

• Minimum Qualifications: High School Diploma or equivalent.
• Des Moines, Iowa (IA), MercyOne Des Moines General Requirements.
• Des Moines, Iowa (IA), MercyOne Des Moines General Requirements.

Skills

• 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.
• Identifies opportunities, develops solutions, & leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Processes accounts’ 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.
• Processes and distributes 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.

Benefits

• Competitive compensation with a full benefits package.
• Opportunity for growth throughout the system.
• Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System’s circle of care.

Pay

• Not specified.

Schedule

• Sunday/Monday/Tuesday 6am- 6:30pm.
• Occasional Weekends (either Saturday or Sunday).