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Employment Type:

Full time

Shift:

Day Shift

Description:

Under limited supervision, the Patient Access Specialist II initiates, obtains, and verifies authorizations for scheduled services based on scheduled procedure and specific treatment protocols. Works in collaboration with clinical areas to determine authorization requirements for scheduled services. Verifies demographic, clinical, financial, and insurance information during the authorization process. Determines liability on patient accounts and works with patients and representatives to identify financial assistance. Accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

Education:

High school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired.

Experience:

2+ years' experience in a customer service role with financial responsibilities is required. Experience in health care, insurance, or managed care industries is highly preferred.

Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly preferred.

REQUIRED SKILLS AND ABILITIES

Must be proficient with the core offerings of the Microsoft suite (Word, PowerPoint, Excel). Excellent communication skills both verbal and written. Able to effectively educate and counsel patients and families on complex finance and benefit options. Excellent critical thinking, interpersonal, and problem solving skills. Must be able to calculate patient liability and exercise judgement when responding to customer questions and concerns. Demonstrates patience in dealing with ordinary, arduous or emotional patients. Excellent data entry and organizational skills. Must be accurate and possess high level of attention to detail. Able to work independently and have good time management skills. High level of initiative. Able to work concurrently on a variety of tasks/projects in a fast-paced environment that is sometimes stressful with individuals that have diverse personalities and work styles. Able to set and organize work priorities and then adapt as business needs change. Able to comprehend and retain information and apply to work procedures to achieve appropriate service delivery. Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts and coordination of benefits is highly desired. Knowledge of basic accounting principles preferred. Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferred.

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