Financial Clearance Lead
Company: Trinity Health
Location: Livonia
Posted on: May 6, 2024
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Job Description:
Employment Type:Full timeShift:Description:POSITION
PURPOSEResponsible 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 costsESSENTIAL FUNCTIONSAssists 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 managerRemote Work OpportunityMINIMUM QUALIFICATIONSHigh 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
softwareAbility 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 CONDITIONSThis 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: $20.1351 $30.1699 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. Associated topics: army national guard,
artillery, coast guard, cyber defense, electronics intelligence,
northrop grumman, top secret with sci, ts, ts clearance required,
ts sci required
Keywords: Trinity Health, Waterford , Financial Clearance Lead, Accounting, Auditing , Livonia, Michigan
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