Employment Type:

　　Full time

　　Shift:

　　Day Shift

　　Description:

　　Come join our Patient Access team at Saint Francis Hospital, a member of Trinity Health Of New England! We are part of the nationwide Trinity Health family bringing compassionate care to our communities.

　　Position Purpose

　　This position is primarily responsible for obtaining and verifying all OP and IP authorizations for Hospital setting. As well as ensuring appropriate prior authorization for related services, drugs, treatments and supplies. The scope of prior authorizations may include (but is not limited to) consults, diagnostic testing in office procedures and pharmaceuticals including off label drugs, and drugs for clinical trials.

　　What you will do

　　Prepares accurate reports and provides departmental summary information for Patient Access Team that ensures all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained

　　Appeals denied claims for related services, drugs, treatments and supplies. Obtains authorizations for related services, drugs, treatments and supplies.

　　Assists interdepartmental teams in troubleshooting accounts that are being held in A/R due to lack of prior authorization

　　Minimum Qualifications

　　Education: High School Graduate, some college experienced preferred

　　5 years' experience - Patient Accounting and/or Financial Counseling - Knowledge of billing regulations helpful

　　Strong interpersonal and communication skills. Demonstrates proficiency in the use of computer systems and computer devices

　　Knowledge of medical terminology and medical insurances

　　Position Highlights and Benefits

　　40 Hours per Week - 1st shift (Days)

　　Our Mission and Core Values

　　Great Benefits and Health Insurance Coverage - Starting Day 1

　　Career growth and advancement potential

　　Award-winning Patient Access Department

　　Ministry/Facility Information

　　Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community's overall health at lower cost. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.

　　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