Specialist I, Financial Clearance, Patient Access- Full time-Remote

MercyOne Medical Group; Davenport (IA); Vor Ort; USD 42.000 - 66.000; Vollzeit

Zusammenfassung

MercyOne Medical Group in Davenport, IA seeks a Specialist I to support financial clearance and insurance verification for pre-service accounts. The role emphasizes accuracy in obtaining insurance details, benefit validation, and initiating the billing process for hospital services.

The position requires 2–5 years of related experience, with HFMA CRCR or NAHAM CHAA certification due within one year. Monday–Friday, day shift, with occasional weekends, and a strong commitment to patient experience

Qualifikationen

• High School Diploma or equivalent is required.
• 2 to 5 years experience in scheduling, financial clearance, or patient access.
• National certification (HFMA CRCR or NAHAM CHAA) is required within 1 year of hire.

Aufgaben

• Must possess comprehensive knowledge of financial clearance and insurance verification processes.
• 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.

Kenntnisse

Financial clearance knowledge

Insurance verification

Data analysis

Ausbildung

High School Diploma or equivalent

Jobbeschreibung

Employment Type: Full time
Shift: Day Shift
Description: 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. Note: “patients” refers to patients, clients, residents, participants, customers, members
Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: 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.
Functional Role: 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.
Work Hours: Monday-Friday 09:00-1730
Occasional Weekends (either Saturday or Sunday)
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.
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. Note: “patients” refers to patients, clients, residents, participants, customers, members
Work Focus: Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. Process Focus: 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.
Functional Role: 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.
Work Hours:

• Monday-Friday 09:00-1730
• Occasional Weekends (either Saturday or Sunday)

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.

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.