Patient Access Specialist - Financial Clearance

Employment Type: Full time Shift: Day Shift Description: This position may be hybrid or remote Position Purpose Completes patient registrations/pre-registration processes following department procedures using identified technology systems. Processes include obtaining accurate demographic, insurance and patient liability information. Responsible for working with multiple department/hospital and web-based systems. What you will do Specialist I: Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care setting Responsible for all pre-service account’s 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 any services provided by the hospital Specialist II Experienced in processing financial clearance for complex services including surgical services, observation, and in-house cases Minimum of five (5) years of financial clearance / authorization experience in an acute care setting Experienced in complex facility based ancillary testing across multiple facilities/states 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 or scheduling Minimum Qualifications Minimum High school or equivalent Two years' experience in an accredited hospital or physician's office (5 years for level II) Knowledge of medical terminology and medical insurances Position Highlights and Benefits Full time 35hrs per week This position may be hybrid or remote Applicants for this position must be authorized to work for any employer in the U.S. We are unable to sponsor an employment visa for this position. Pay Range: $18-25 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Ministry/Facility Information Mercy Medical Center has established itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is a 182-bed acute care hospital in Springfield. Other facilities include Mercy's Rehabilitation Hospital, a comprehensive hospital-based rehabilitation center and Brightside for Families and Children, an outpatient service offering counseling and family support programs. 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.