Remote Scheduling Specialist I

Trinity Health; Livonia (MI); A distancia; USD 24.000 - 36.000; Jornada completa

Descripción de la vacante

Trinity Health in Livonia, Michigan is seeking a Full-time patient access specialist to schedule and pre-register patients for outpatient radiology exams. You will verify insurance eligibility and determine patient financial responsibility, initiating the billing process and communicating with care teams to optimize patient flow.

Minimum requirements include 2–5 years in scheduling or financial clearance, with HFMA CRCR or NAHAM CHAA certification within one year.

Formación

• High school diploma or equivalent required.
• 2–5 years in scheduling, financial clearance, or patient access.
• HFMA CRCR or NAHAM CHAA certification within 1 year of hire.
• Proficient in Patient Registration/Patient Accounting systems.

Responsabilidades

• Schedule and pre-register patients for outpatient radiology exams.
• Verify insurance eligibility and accurately identify and collect patient financial responsibility.
• Communicate with service delivery areas to maximize patient flow and service quality.
• Begin the billing process and explain cost estimates to patients.

Conocimientos

Scheduling

Pre-registration

Insurance verification

Patient access

Financial clearance

Billing processes

Educación

High School Diploma or equivalent

Herramientas

Patient Registration/Patient Accounting systems

Descripción del empleo

Employment Type: Full time Shift: Description: Hourly pay range: $17.50 - $26.24 Remote Work Opportunity Hours: M-F, 9:30am-6:00pm CST/10:30am-7:00pm EST/8:30am-5:00pm MST

POSITION PURPOSE Responsible for scheduling, pre-registering patients for outpatient radiology exams. Electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility. This is a key position that begins the overall patient experience and initiates the billing process for any services provided by the hospital. As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs.

ESSENTIAL FUNCTIONS Responsible for pre-registration, scheduling, electronically verifying insurance eligibility & accurately identifying & collecting patient financial responsibility. Handles complex scheduled events, including high dollar testing, associated studies & those with study specific instructions & communicates effectively to service delivery areas to maximize patient flow & customer service. Begins the overall patient experience & initiate the billing process for any services provided by the hospital. Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol. Verifies patient information with third party payers. Collects insurance referrals and documents within HIS. Communicates with patients and physician/offices regarding authorization/referral requirements. Identifies potential need for financial responsibility forms or completed electronic forms with patients as necessary. Escalates accounts appropriately in accordance with department Defer/Delay policy to manager. Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Secondary Payer Questionnaire (MSPQ) and obtains information from the patient if third party payers need to be billed (i.e., worker's compensation, motor vehicle accidents and any other applicable payer). Maintains operational knowledge of regulatory requirements and guidelines as outlined in the hospital and department Compliance Plans. Ensures Meaningful Use requirements are met as appropriate. Screens all patients self-pay & out of network patients using approved technology. Provides information for follow up and referral to the RHM Medicaid Vendor and/or Financial Counselor as appropriate. Initiates payment plans and obtains payment. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family. Incorporates point of service (POS) collection processes into daily functions. Must possess the ability to comply with Trinity Health policies and procedures. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. Other duties as assigned by manager.

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 & related software systems.

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.