Financial Clearance Specialist

Role Overview

• Responsible for all pre-service accounts' 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 services provided by the hospital.
• 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.
• Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases.

Requirements

• Minimum of five (5) years of financial clearance / authorization experience in an acute care setting.
• High School Diploma or equivalent.
• Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
• National certification in HFMA CRCR required within one (1) year of hire.
• Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.
• 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.
• Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Benefits

• Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct.