Employment Type:

Full time

Shift:

Description:

POSITION PURPOSE

Responsible for coordinating and leading the team workload to ensure all services are financially cleared five (5) days prior to the date of service, and Urgent Admission accounts are financially cleared within one date of admission for Trinity Health.

Possess detailed knowledge of all aspects of acute registration, scheduling, and verification, including ancillary and in-house services. Ensures all department policies and procedures are enforced; assists Regional Manager in monitoring the accuracy of financial clearance on accounts, daily review and clearing of issues within registration system deficiency code work lists; and managing the overall training and coordination of workflow for the department.

As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs

ESSENTIAL FUNCTIONS

Assists manager by coordinating the work of an assigned group of colleagues, relays work instructions, distributes and monitors' work.

Provides technical training and assistance.

Provides employee performance feedback.

Maintains and exceeds the department specific individual productivity standards, collection targets, quality audit scores for accuracy, productivity, collection, and standards for registration/insurance verification.

Fosters positive morale and effective teamwork in assigned group.

Provides guidance and training to Financial Clearance positions, which may include resolving problems. Reviews and works daily lists of future scheduled ambulatory visits and urgent admissions to confirm the accuracy of insurance coverage.

Contacts the patient and specialty physician’s office when the insurance cannot be verified, and the patient cannot be reached by telephone. Advises the physician’s office to reschedule the visit after all efforts are exhausted. Refers cases to RHM Medicaid Vendor and Benefit Advocate for resolution when patients are uninsured and wish to be seen.

Reviews and responds to denials related to no referral/authorization, wrong insurance billed, and not eligible date of service.

Maintains knowledge of policies and procedures for department.

Assists in developing schedules and assure staffing needs are met. Implements alternative schedules as needs arise with manager guidance.

Assists manager with monthly productivity and reviews.

Assists manager with colleague time-keeping records.

Responds to colleague questions and concerns on a team and individual basis as needed.

Participates in monthly team meetings to apprise team of changes and to address broader based departmental issues and initiatives.

Assists in policies and procedures within the department as well as implementation of process improvement tasks.

Monitors work queues and reports to ensure accurate and timely financial clearance of accounts.

Assists manager in working initial denial files on weekly basis and performs root cause analysis.

Escalates accounts of concern to manager in a prompt manner.

Must possess the ability to comply with Trinity Health policies and procedures. Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Other duties as needed and assigned by the manager

Remote Work Opportunity

MINIMUM QUALIFICATIONS

High school diploma or equivalent combination of education and experience. Some college preferred.

Must possess a comprehensive knowledge of financial clearance and insurance verification processes with a minimum of four plus (4) years of financial clearance experience in an acute care setting.

Strong knowledge in third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.

Previous leadership experience or equivalent preferred.

National certification in HFMA CRCR and / or NAHAM CHAA required within one (1) year of hire. NAHAM CHAM, strongly preferred. Superior customer service skills and etiquette is strongly preferred. Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems. Must be proficient in the use of Microsoft Office business software

Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others in order to expedite the registration/intake process.

Thorough knowledge and understanding of health care delivery system with special emphasis on the referral management process for managed care providers.

Flexible work style, tactful, poised and patient. Ability to handle high degree of pressure, heavy workloads, multiple requests, numerous interruptions, and short deadlines in a positive manner, establishing priorities for effective work completion. Adapts quickly to changing conditions, incorporating new processes into job functions, and assisting regional manager with implementation of new policies and procedures.

Must be comfortable operating in a collaborative, shared leadership environment.

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

This position operates remote in an in-home environment or in an onsite typical office environment. The area is well lit, temperature controlled and free from hazards.

Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.

Manual dexterity is needed to operate a keyboard. Hearing is needed for extensive telephone and in person communication.

The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.

Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.

Must possess the ability to comply with Trinity Health policies and procedures.

Hourly pay range: $20.6822 – $31.0233

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran