Patient Access Specialist II

Trinity Health MI; Ypsilanti (MI); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider in Michigan is seeking a Patient Access Specialist II to facilitate service delivery and authorization processes. Candidates should possess strong communication skills and experience in customer service with financial responsibilities. The role is integral to verifying insurance and assisting patients with their payment options in a busy healthcare environment.

Qualifications

• 2+ years' experience in a customer service role with financial responsibilities.
• Experience in health care, insurance, or managed care preferred.
• Knowledge of insurance and governmental programs desired.

Responsibilities

• Initiates, obtains, and verifies authorizations for scheduled services.
• Works with clinical areas to clarify authorization requirements.
• Determines patient account liabilities and accepts payments.

Skills

Communication

Critical Thinking

Interpersonal Skills

Problem Solving

Attention to Detail

Data Entry

Education

High school diploma

Associate degree in Accounting or Business Administration

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

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Description:

Under limited supervision, the Patient Access Specialist II initiates, obtains, and verifies authorizations for scheduled services based on scheduled procedure and specific treatment protocols. Works in collaboration with clinical areas to determine authorization requirements for scheduled services. Verifies demographic, clinical, financial, and insurance information during the authorization process. Determines liability on patient accounts and works with patients and representatives to identify financial assistance. Accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery.

Employment Type:

Full time

Shift:

Day Shift

Description:

Under limited supervision, the Patient Access Specialist II initiates, obtains, and verifies authorizations for scheduled services based on scheduled procedure and specific treatment protocols. Works in collaboration with clinical areas to determine authorization requirements for scheduled services. Verifies demographic, clinical, financial, and insurance information during the authorization process. Determines liability on patient accounts and works with patients and representatives to identify financial assistance. Accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery.

Required Education, Experience And Certification/Licensure

Education:

High school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired.

Experience:

2+ years' experience in a customer service role with financial responsibilities is required. Experience in health care, insurance, or managed care industries is highly preferred.

Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly preferred.

Required Skills And Abilities

Must be proficient with the core offerings of the Microsoft suite (Word, PowerPoint, Excel). Excellent communication skills both verbal and written. Able to effectively educate and counsel patients and families on complex finance and benefit options. Excellent critical thinking, interpersonal, and problem solving skills. Must be able to calculate patient liability and exercise judgement when responding to customer questions and concerns. Demonstrates patience in dealing with ordinary, arduous or emotional patients. Excellent data entry and organizational skills. Must be accurate and possess high level of attention to detail. Able to work independently and have good time management skills. High level of initiative. Able to work concurrently on a variety of tasks/projects in a fast-paced environment that is sometimes stressful with individuals that have diverse personalities and work styles. Able to set and organize work priorities and then adapt as business needs change. Able to comprehend and retain information and apply to work procedures to achieve appropriate service delivery. Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly desired. Knowledge of basic accounting principles preferred. Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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