Specialist II, Financial Clearance, Patient Access- Full time-Nights

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.
• 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.
• Processes claims using multiple system applications.
• Ensures compliance with insurance regulations and payer requirements.
• Works collaboratively with insurance companies to resolve denials and appeals.
• Manages accounts receivable and ensures timely payment.
• Develops and maintains accurate and up-to-date patient financial records.
• Communicates with patients regarding their financial obligations and payment plans.
• Prepares and submits insurance claims for services rendered.
• Collaborates with interdisciplinary teams to improve patient satisfaction and financial outcomes.
• Monitors and analyzes financial performance metrics to identify trends and areas for improvement.
• Supports the implementation of new systems and processes related to financial clearance and insurance verification.
• Provides training and guidance to peers on financial clearance and insurance verification procedures.
• Participates in performance improvement initiatives aimed at enhancing patient experience and financial outcomes.

  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.
  • Knowledge of Trinity Health policies, practices & processes.
  • Basic knowledge of multiple system applications used for analysis, report creation, and educational material development.
  • Ability to prioritize quality, confidentiality & safety in accordance with Trinity Health standards.
  • Comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of experience in an acute care setting.
  • Ability to obtain and verify accurate insurance information, benefit validation, authorization, and preservice collections.
  • Experience initiating the billing process for hospital services.
  • Ability to work flexible hours including Thursday/Friday/Saturday 6pm-6:30am, occasional weekends (either Saturday or Sunday).

    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.
    • Knowledge of Trinity Health policies, practices & processes.
    • Basic knowledge of multiple system applications used for analysis, report creation, and educational material development.
    • Ability to prioritize quality, confidentiality & safety in accordance with Trinity Health standards.
    • Comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of experience in an acute care setting.
    • Ability to obtain and verify accurate insurance information, benefit validation, authorization, and preservice collections.
    • Experience initiating the billing process for hospital services.
    • Ability to work flexible hours including Thursday/Friday/Saturday 6pm-6:30am, occasional weekends (either Saturday or Sunday).
    • Minimum of 2 years of experience in a healthcare setting preferred.
    • Strong communication and interpersonal skills.
    • Ability to manage multiple tasks and prioritize responsibilities effectively.
    • Proficiency in Microsoft Office Suite and other relevant software tools.
    • Ability to work independently and as part of a team.
    • Passion for providing exceptional patient care and support.

      Skills

      • Data analysis & research skills.
      • Problem-solving & critical thinking abilities.
      • Project management & leadership skills.
      • Interdisciplinary collaboration & teamwork.
      • Financial clearance & insurance verification knowledge.
      • System application proficiency.
      • Communication & interpersonal skills.
      • Time management & organizational skills.
      • Attention to detail & accuracy.
      • Flexibility & adaptability.
      • Customer service orientation.
      • Healthcare industry knowledge.

        Benefits

        Competitive compensation with a full benefits package and opportunity for growth throughout the system. Includes health, dental, vision, retirement savings, paid time off, and more.

        Pay

        Salary range: $XX - $YY per hour.

        Schedule

        Thursday/Friday/Saturday 6pm-6:30am. Occasional Weekends (either Saturday or Sunday).