Employment Type:

Shift:

Description:

Specialist II Financial Clearance Pt. Access St. Peters 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 organizations 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 caresetting

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 caresetting.

Experiencedin complex facility based ancillary testing across multiplefacilities/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 Healths 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.