Employment Type:

Full time

Shift:

Day Shift

Description:

Specialist II, Financial Clearance, Pt. Access  – St. Peter's Hospital – Full-Time Days

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.

Essential Functions 

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
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.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
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.

Functional Role (not inclusive of titles or advancement career progression

Specialist II

Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases.  

Minimum of five (5) years of financial clearance / authorization experience in an acute care setting

Functional Role (not inclusive of titles or advancement career progression

Specialist II

Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases.  

Minimum of five (5) years of financial clearance / authorization experience in an acute care setting.  

Experienced in complex facility based ancillary testing across multiple facilities/states.

Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or scheduling.

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. 

Physical & Mental Requirements & Working Conditions

Direct Healthcare Services / Indirect Healthcare / Support Services:   
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell.   Occasional 
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional 
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional 
Exposure to interruptions, shifting priorities & stressful situations. Frequent 
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous 
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Continuous 
Perform manual dexterity activities & / or grasping / handling.   Frequent   
Ability to climb, kneel, crouch & / or operate foot controls.  Occasional 
Use a computer / other technology. Continuous 
Sit with the ability to vary / adjust physical position or activity. Continuous     
Maintain a safe working environment & use available personal protective equipment (PPE). Frequent    
Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous 
Ability to provide assistance in the event of an emergency. Occasional  

Direct Healthcare Services:  
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional 
Lift a maximum of 30 pounds unassisted.  Occasional    
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Frequent    
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous 
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional  
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients

Indirect Healthcare / Support Services:  
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional 

Lift a maximum of 30 pounds unassisted. Occasional    
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing.  Occasional  
Encounter a clinical / patient facing / hands on interactive work environment. Frequent   
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous  
Work outdoors with variable external environmental conditions

Pay range: $19.20-$24.60

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location

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.