Apply on Employer Site

Trinity Health MI · 6 hours ago

Specialist, Financial Clearance II

Ypsilanti, MI

Full-time

Onsite

Mid, Senior Level

5+ years exp

Trinity Health MI is committed to delivering compassionate, person-centered care while honoring the dignity of every person. They are seeking a Specialist, Financial Clearance II who will utilize specialized knowledge to support key areas related to financial clearance and patient access, while leading projects and collaborating on performance improvement activities.

Hospital & Health Care

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

Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge

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

Qualification

Financial clearancePatient Registration systemsData analysisHFMA CRCR certificationInsurance verificationPatient accessSchedulingProblem-solvingCollaborationCritical thinking

Required

Minimum of five (5) years of financial clearance / authorization experience in an acute care setting

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

Preferred

Associate's 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