Scheduling Specialist I

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Schedule and pre-register patients for outpatient radiology examinations.

• Verify insurance eligibility electronically.

• Identify and collect patient financial responsibilities.

• Manage complex scheduled events, including high-cost testing, associated studies, and specific instructions for each study.

• Communicate with service delivery areas to enhance patient flow and customer service.

• Analyze patient insurance, determine the correct insurance plan, select suitable HIS insurance and plan options, and document the insurance order.

• Implement recurring visit processing following established protocols.

• Confirm patient information with third-party payers.

• Gather and document insurance referrals in HIS.

• Communicate with patients and physician offices regarding authorization and referral requirements.

• Recognize the need for financial responsibility forms and obtain completed electronic versions.

• Escalate accounts as per department Defer/Delay policy.

• Screen outpatient visits for medical necessity and issue Advanced Beneficiary Notices when necessary for Medicare primary outpatients.

• Provide cost estimates.

• Collect and document Medicare Secondary Payer Questionnaires and third-party payer information.

• Stay informed about regulatory requirements and hospital and department Compliance Plans.

• Ensure Meaningful Use requirements are fulfilled as appropriate.

• Screen self-pay and out-of-network patients utilizing approved technology.

• Provide follow-up information and referrals to the RHM Medicaid Vendor and/or Financial Counselor.

• Initiate payment plans and secure payments.

• Explain government and private funding programs, cash payment plans, and discounts.

• Integrate point-of-service collection processes into daily operations.

• Perform additional duties as assigned by the manager.

⛳️ Requirements

• High School Diploma or equivalent.

• Two (2) to Five (5) years of experience in relevant fields such as scheduling, financial clearance, or patient access.

• National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

• Proficiency in Patient Registration/Patient Accounting systems and related software applications.

• Ability to adhere to Trinity Health policies and procedures.

• Comfortable working in a collaborative, shared leadership environment.

• Personal presence marked by honesty, integrity, and compassion.

• Ability to advocate for Trinity Health's philosophy, mission, vision, goals, and values.

🏝️ Benefits

• Opportunity for remote work.

• Commitment to Equal Opportunity Employer principles.

• Person-centered, mission-driven work environment.

• Collaborative, shared leadership culture.