- Schedule Information: This position will be scheduled on an as-needed basis according to business needs. Anticipated need is at least 20 hours a week working between 8am and 5pm, Monday through Friday.
- Position is remote (work from home); however, there is required in-person training during initial orientation in Boise, ID.
- Required: High school diploma or equivalent.
- Highly desired: Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities.
- Preferred: Associate degree or an equivalent combination of education and experience. Data entry skills keystrokes per minute).
- Work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem-solving skills are essential.
- Ensures patient safety by authenticating patient identity throughout all essential functions.
- Meets or exceeds established customer service, productivity and quality standards in all essential functions.
- Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence.
- Performs activities that relate to pre-registration and financial clearance for multiple patient types and support coverage of other departmental divisions.
- Responsible for pre-registering the patient for upcoming visit(s). Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
- Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and documenting information within the patient accounting system.
- Determines need for appropriate service authorizations and will contact the physician and Case Management/Utilization Review personnel, as necessary.
- Informs patient/guarantor of their liabilities and collects appropriate patient liabilities. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required.
- Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.
- May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees.
- Must be able to sit or stand for extended periods of time and use a telephone headset.
- Completion of regulatory/mandatory certifications and skills validation competencies preferred
- Working knowledge of medical terminology desirable. Basic computer skills are required.
- Excellent communication (verbal and written) and organizational abilities.
- 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.
- We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
- Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
- We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.
- Top 15 Health Systems in the country by IBM Watson Health;
- The region's most advanced Trauma Center (Level II);
- Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.
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Preservice Specialist part-time days - Boise, United States - Trinity Health
Description
Employment Type:Part timeShift:
Day Shift
Description:
We are looking to add a colleague to our Financial Clearance team. This is a non-benefited, part-time position working during the week (Monday-Friday).
Position Purpose:
The Pre-Service Specialist obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient/guarantor information in the patient accounting system. The Pre-Service Specialist is also responsible for insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases.
Our ideal candidate has experience with EPIC, has worked in healthcare, and is local to the Treasure Valley in Idaho.
Position Highlights and Benefits:
When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
Ministry/Facility Information:
Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
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.
