Financial Clearance II

🔥 3 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $18 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Financially clear patients for each visit type, admit type, and area of service via the current Health Information System. • Collect and document required demographic and financial information. • Activate registrations and discharges appropriately and promptly. • Coordinate with Care Management regarding level of care, Medicare Inpatient Only list, and required authorizations. • Coordinate with OR Scheduling on date-of-service changes, revisions, or cancellations. • Analyze patient insurance, identify the correct plan, document insurance order, and process recurring visits. • Verify patient information with third-party payers and collect insurance referrals. • Communicate with patients and physician offices regarding authorization and referral requirements. • Screen outpatient visits for medical necessity and issue Advanced Beneficiary Notices when appropriate. • Provide cost estimates and collect/document Medicare Secondary Payer Questionnaire information. • Screen self-pay and out-of-network patients; provide follow-up and financial counseling referrals. • Initiate payment plans, obtain payments, and explain funding programs, discounts, and cash payment plans. • Process point-of-service collections, issue receipts, and complete cash balance sheets where appropriate. • Maintain productivity, collection, quality, registration, and insurance-verification standards. • Coordinate appointment scheduling across the region and verify pre-registration needs. • Communicate and promptly escalate accounts of concern to management. • Maintain compliance with applicable laws, regulations, Trinity Health policies, and the Code of Conduct. • Perform other duties as assigned by the manager.

🎯 Requirements

• High School Diploma or equivalent combination of education and experience. • Three (3) years of financial clearance experience in an acute care setting. • Comprehensive knowledge of financial clearance and insurance verification processes. • Experience processing financial clearance for complex services including surgical services, observation, and in-house cases. • Strong knowledge of third-party and government payer billing and reimbursement guidelines. • National certification in HFMA CRCR and/or NAHAM CHAA within one (1) year of hire. • Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others. • Superior customer service skills and etiquette is strongly preferred. • Proficient in Patient Registration/Patient Accounting systems and related software systems. • Proficient in Microsoft Office business software. • Ability to evaluate and investigate issues to determine effective resolution. • Must comply with Trinity Health policies and procedures. • Must be comfortable operating in a collaborative, shared leadership environment. • Must possess a personal presence characterized by honesty, integrity, caring, and ability to inspire and motivate others.