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Patient Access Concierge Financial Clearance Center

3 months ago

Westchester, United States Loyola University Health System Full time

**Employment Type**:
Full time

**Shift**:
**Description**:
At Loyola, we know you’re more than your job. We see you and all your potential. That’s why we invest in our people. Flexible scheduling, tuition reimbursement and day one benefitsat Loyola, what’s important to you, is important to us. Join our family.
- 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
- 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.