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Employment Type:

Full time

Shift:

Day Shift

Description:

_Trinity Health Mid-Atlantic, is looking for an experienced Radiology Scheduling Specialist to join our Patient Access team!_

Employment Type:

Full Time

Shift:

40hrs/wk, days. Monday-Friday, shift times to be discussed, based on department needs.

Under the direction of the Regional Patient Access Call Center Manager, the Scheduling Specialist is responsible for timely and accurate appointment scheduling with expertise in scheduling protocols, registration, insurance requirements/verification, identification of accurate patient responsibility with notification to the patient for the Trinity Health Mid-Atlantic Region which includes **Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne** .

The Radiology Scheduling Specialist is responsible for pre-registration, scheduling, electronically verifying insurance eligibility and accurately identifying patient financial responsibility. Position handles complex scheduled events, including high dollar testing, associated studies and those with study specific instructions. This is a key position that will begin the overall patient experience and initiates the billing process for any services provided by the hospital.

+ Accurately schedule appointments using scheduling protocols and insurance requirements via current HIS (Health Information System). Collects and documents all required demographic and financial information. Appropriately activates pre-registration.

+ Completes scheduling of appointment, pre-registration, insurance verification and authorization requirements with collection of out of pocket payments as applicable based on Bronze Standard.

+ Analyze patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.

+ Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to be billed (i.e. worker's compensation, motor vehicle accidents and any other applicable payer).

+ Financial Advocacy: Screens all patients self-pay & out of network patients using approved technology. Provides information for follow up and referral to the RHM Medicaid Vendor and/or Benefit Advocate as appropriate. Initiates payment plans and obtains payment. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family. Incorporates point of service (POS) collection processes into daily functions.

Requirements:

+ High School Diploma or equivalent. Some college preferred

+ Must possess a comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) to five (5) years scheduling experience in an acute care setting

+ Experience in complex facility based ancillary testing across multiple facilities/states

+ Ability to schedule for multiple facilities with significant variants in protocols

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

+ Preferred NAHAM CHAA or AAHAM CRCS certification

+ Bilingual in English and Spanish preferred

• **We offer a competitive salary and comprehensive benefits including:**

+ Medical, Dental, & Vision Coverage

+ DailyPay

+ Retirement Savings Program

+ Paid Time Off

+ Tuition Reimbursement

+ Free Parking

+ And more!

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.

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