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Trinity Health MI · 13 hours ago

Financial Clearance Specialist - Surgery - Onsite

Grand Rapids, MI

Full-time

Onsite

Entry, Mid Level

2+ years exp

Trinity Health MI is one of the largest Catholic healthcare organizations in the country, and they are seeking a Financial Clearance Specialist for their surgery department. The role involves supporting financial clearance and insurance verification processes to ensure a smooth patient experience and billing initiation.

Hospital & Health Care

Responsibilities

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

Financial clearance knowledgeInsurance verification processesPatient Registration systemsNational certification (HFMA CRCR)Scheduling expertiseCritical thinkingProblem-solving skills

Required

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

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

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