Employment Type:

Full time

Shift:

Day Shift

Description:

Come help lead our Patient Access team for Saint Francis Hospital, a member of Trinity Health Of New England!

Position Purpose

This position is responsible for supervising the Insurance & Authorization Specialist team, ensuring appropriate and accurate submission of insurance prior authorization requests. The scope of the position involves leadership in interpreting insurance coverage, understanding outpatient hospital insurance benefits and reviewing clinical documentation for prior authorization submission.

What you will do

• Complete insurance eligibility verification to determine the benefits and coverage for patients

• Communicate benefit concerns and/or questions to Centralized Financial Clearance Unit representative staff, physician or financial counselor for follow up with patient

• Assist patients with billing related inquiries if necessary

• Review financial/insurance information obtained to meet State, Federal and Third Party billing requirements to ensure reimbursement for services

• Satisfy admission notice requirements for pre-certification/authorization for HMO/commercial payers

• Editing, updating and timely filing of all new information gathered for each admission

Minimum Qualifications

• High School Graduate or equivalent, college experienced preferred

• 5 years Patient Accounting and/or Financial Counseling. Knowledge of billing regulations helpful.

• Knowledge of medical terminology and medical insurances.

Position Highlights and Benefits

• Full time 40hrs M-F days

• Excellent benefits - starting day 1!

Ministry/Facility Information

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

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.

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