Saint Joseph Mercy Health System · 6 days ago
Specialist, Financial Clearance II
Ypsilanti, MI
Full-time
Onsite
Mid, Senior Level
5+ years expSaint Joseph Mercy Health System is committed to delivering compassionate, person-centered care. The Specialist, Financial Clearance II uses specialized knowledge to support key areas related to financial clearance and insurance verification, while collaborating on performance improvement activities and leading operational projects.
Health CareHospitalMedicalNon Profit
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
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
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
Qualification
Required
High School Diploma or equivalent
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
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
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 preferred
Experience in complex facility based ancillary testing across multiple facilities/states preferred
Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures
Company
Saint Joseph Mercy Health System
St. Joseph mercy ann arbor is a 537-bed teaching hospital located on a 340 acre campus in ann arbor, michigan.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Joyce Young
Regional Vice President/CNO, SJMHS, SE Michigan Hospitals
Michelle Taylor, PHR, SHRM-CP
Talent Acquisition Senior Partner
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