Specialist I, Financial Clearance Patient Access- FT 1.0

Employment Type:

Shift:

Description:

Essential Functions Our Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions. 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. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Data Management & Analysis: Research & compiles information to support ad-hoc operational projects & initiatives. 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. Leverages program & operational data & measurements to define & demonstrate progress ROI & impacts. Maintains a Working Knowledge of applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.

Functional Role (not inclusive of titles or advancement career progression 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 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.

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. Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.

Additional Qualifications (nice to have) Associates Degree preferred. Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting Experience in complex facility based ancillary testing across multiple facilities/states Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Physical & Mental Requirements & Working Conditions Direct Healthcare Services / Indirect Healthcare / Support Services: Exposure to conditions which may be considered unpleasant to sight touch sound & / or smell. Occasional Exposure to fumes odors dusts mists & gases biohazards / hazards (mechanical electrical burns chemicals radiation sharp objects etc.). Occasional Exposure to or subject to noise infectious waste diseases & conditions. Occasional Exposure to interruptions shifting priorities & stressful situations. Frequent Ability to follow tasks through to completion understand & relate to complex ideas / concepts remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous Ability to read small print hear sounds & voice / speech patterns give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Continuous Perform manual dexterity activities & / or grasping / handling. Frequent Ability to climb kneel crouch & / or operate foot controls. Occasional Use a computer / other technology. Continuous Sit with the ability to vary / adjust physical position or activity. Continuous Maintain a safe working environment & use available personal protective equipment (PPE). Frequent Comply with Trinity Healths Code of Conduct policies procedures & guidelines. Continuous Ability to provide assistance in the event of an emergency. Occasional Direct Healthcare Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted. Occasional Use upper & lower extremities engage in bending / stooping / reaching & pushing / pulling. Frequent Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Encounter worksites (e.g. patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional Perform work that involves physical efforts (e.g. transporting moving positioning & / or ambulating patients). Occasional Specialist (I-II) Financial Clearance Patient Access

Indirect Healthcare / Support Services: Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional Lift a maximum of 30 pounds unassisted. Occasional Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional Encounter a clinical / patient facing / hands on interactive work environment. Frequent Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous Work outdoors with variable external environmental conditions. Occasional KEY: Average Workday Activity: Occasional (1% - 33%) Frequent (34% - 66%) Continuous (67% -

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.

Required Experience:

IC