Patient Access Specialist - Financial Clearance

Employment Type:Full timeShift:Day ShiftDescription:This position may be hybrid or remotePosition PurposeCompletes patient registrations/pre-registration processes following department procedures using identified technology systems. Processes include obtaining accurate demographic, insurance and patient liability information. Responsible for working with multiple department/hospital and web-based systems.What you will doSpecialist I:Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care settingResponsible for all pre-service account’s financial clearance and collection prior to the date of serviceObtains and verifies accurate insurance information, benefit validation, authorization, and preservice collectionsBegins the overall patient experience and initiates the billing process for any services provided by the hospitalSpecialist IIExperienced in processing financial clearance for complex services including surgical services, observation, and in-house casesMinimum of five (5) years of financial clearance / authorization experience in an acute care settingExperienced in complex facility based ancillary testing across multiple facilities/statesResponsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification, & urgent admission verification or schedulingMinimum QualificationsMinimum High school or equivalentTwo years' experience in an accredited hospital or physician's office (5 years for level II)Knowledge of medical terminology and medical insurancesPosition Highlights and BenefitsFull time 35hrs per weekThis position may be hybrid or remoteApplicants for this position must be authorized to work for any employer in the U.S. We are unable to sponsor an employment visa for this position. Pay Range: $18-25Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.Ministry/Facility InformationMercy Medical Center has established itself as one of the leading providers of health care services in Western Massachusetts. Mercy Medical Center is a 182-bed acute care hospital in Springfield. Other facilities include Mercy's Rehabilitation Hospital, a comprehensive hospital-based rehabilitation center and Brightside for Families and Children, an outpatient service offering counseling and family support programs.Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.