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• Benefits from Day One
• Daily Pay
• Career Development
• Tuition Reimbursement
• On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)
• Referral Rewards
Financial Clearance Patient Access Concierge is responsible for verifying, confirming, and updating eligibility information in the patient's registration record and obtaining referrals or authorizations for applicable services while providing excellent customer service to our patients, supporting departments, and external customers.
Responsibilities
Facilitates and obtains the pre-authorization of various services between referring physicians and insurance carriers through the use of online tools and direct phone calls
Ensures scheduled outpatient services are financially cleared before the patient receiving the service
Performs medical necessity checks for scheduled services and communicates options to the patient if medical necessity fails
Manages work schedule efficiently, completing tasks and assignments based on departmental goals
Follows departmental process guidelines for proper documentation and recording of authorization information
Forwards, directs, and notifies PAC II, Supervisor, and Manager of issues
Maintains patient confidentiality per HIPAA regulations
Interacts with various hospital departments and physician’s offices via emails/in-basket/phone calls
Informs patients of any issues with securing the referral/authorization before the scheduled date
Utilizes department and organization policies and procedures to complete assigned tasks
Demonstrates teamwork by helping co-workers within and across departments
Understands departmental and individual quality metrics
Provides ideas and suggestions for process improvements within the department
Adjusts processes as needed to meet goals and standards
Other duties as assigned
Qualifications
Strong understanding of Medicare, Medicaid, Managed Care, and Commercial rules and regulations
Proficient in contracted and non-contracted healthcare insurance plans
EPIC experience preferred
Exceptional organizational, time management, analytical, and problem-solving skills
1-3 years previous hospital billing, insurance follow-up, or customer service in a hospital setting
Excellent interpersonal, verbal, and written communication skills
Customer service oriented
High School Diploma or equivalent
Proficiency in computer data entry/typing
Ability to type 40 wpm
Capability to multi-task
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.