Financial Clearance Specialist I

Trinity Health; Muskegon (MI); A distancia; USD 42.000 - 65.000; Jornada completa

Descripción de la vacante

Trinity Health is seeking a Specialist I in a fully remote role to manage pre-service financial clearance and insurance verification. You will obtain and verify insurance information, validate benefits, secure authorizations and start the billing process.

Requirements include 2–5 years in scheduling/financial clearance or related area, HFMA CRCR or NAHAM CHAA certification within 1 year, a high school diploma, and proficiency with Patient Registration/Accounting systems.

Formación

• 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.

Responsabilidades

• Begins the overall patient experience and initiates the billing process for any services provided by the hospital.
• 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.

Descripción del empleo

Employment Type

Full time

Shift

Day Shift

Description

This is a fully remote position.

Shift: Day shift, 830am-5:00pm EST.

First two weeks of EPIC training are M-F, 8a-430pm.

Purpose

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.

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 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.

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.

Why Trinity Health?

• Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country.
• Competitive pay
• Paid time off and comprehensive benefit package that starts day one
• Benefits on day 1, no waiting period
• Retirement programs with employer match
• Student loan forgiveness services for staff and their family
• 18 Days of PTO your first year
• 25% discount with Sprint, Verizon, or AT&T

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.