Trinity Health MI · 1 day ago
Specialist, Financial Clearance
Ypsilanti, MI
Full-time
Onsite
Entry, Mid Level
2+ years expTrinity Health MI is focused on delivering compassionate, person-centered care and is seeking a Specialist in Financial Clearance. This role is responsible for supporting financial clearance processes, verifying insurance information, and ensuring a smooth patient experience prior to service delivery.
Hospital & Health Care
Responsibilities
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
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
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
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 possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care setting
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
Company
Trinity Health MI
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Gregory Wickings
Talent Acquisition Partner - Trinity Health Michigan (Grand Rapids & Muskegon)
Laura Aquinto
Revenue Site Business Partner
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