Employment Type:

Full time

Shift:

Description:

MISSION STATEMENT:

We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

VISION:

To be world-renowned for passionate patient care and outstanding clinical outcomes.

CORE VALUES:

• In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

POSITION SUMMARY:

The Patient Access Authorization Lea directly impacts the revenue cycle by accurately processing data relating to insurance, authorization and demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The Authorization Lead may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide. The Authorization Lead meets established quality and productivity standards and interacts professionally with MD’s, MD office staff, employees, outside vendors, patients, and patient representatives. The Authorization Lead identifies workflow changes to assist in the reduction of authorization denials for the organization. This role works closely with the surgical HUB to make certain that specific procedure codes are appropriately aligned with the authorization being obtained by the payer. The Authorization Lead will assist in training and putting standard work in place with the authorization team to be certain we are paid for all procedures being performed.

EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:

This position requires two years of medical office or customer service experience. Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.

SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:

Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology preferred.

WORK ENVIRONMENT AND HAZARDS: Clinical Setting. Exposure Class I or II; service specific.

PHYSICAL DEMANDS: Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands, fingers, and wrists.

WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.

SUPERVISED BY: Patient Access Coordinator

SUPERVISES: Not applicable.

CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager

Pay Range: $19.64-27.85

Pay 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.

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