Patient Access Representative - Emergency Department

Trinity Health

1d•$18 - $26•Onsite

About The Position

Night shift schedule includes weekend rotation Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices. POSITION SUMMARY: The Patient Access Representative -front-end, works directly with patients, family, and various hospital staff to ensure that Patients are taken care of while on their journey with SJH. Patient Access functions consist of but not limited to Desk registration, bedside registration, pre-registration and floating to areas within Patient Access dept to assist as need directed by management. In all locations, the Patient Access will ensure that accounts are financially secure, meaning collecting demographics, insurance information, reviewing financial responsibilities consisting of co-pays, past due balances, and estimates.

Requirements

High school graduate a must with at least 2 to 3 years progressive experience in the field.
Proficient in the Patient Access Template within EPIC
Complete CPI (Crisis Prevention Intervention) Training
Strong written and oral communication skills.
Strong interpersonal skills.
Broad based knowledge or related regulatory compliance requirements.
Competent in basic computer skills

Nice To Haves

Bachelors or AAS degree is a plus.
Advanced degree is a plus/requirement depending on specific service needs and or requirements.
Ideally the candidate will have some supervisory experience.
Participatory management, team building, motivational, and administrative skills welcomed but not required.
Critical thinking

Responsibilities

Admitting/Checking patients on both Emergency and Comprehensive Psychiatric ED boards (CPEP)
Ensuring proper documentation with charts/patient (bracelet and labels)
Staying updated on workflows for designated task
Follow patient identification protocols
Appropriately documenting in charts
Closing out cash drawers
Maintaining appropriate cash in petty cash drawer
Scheduling walk-in imaging, TDAP, Bilirubin (newborn test) appointments
Floorwork Registration
Floating to with other Patient Access locations (cross training)
Maintaining Healthstreams courses
Maintaining all insurance sign ons are updated
Stay up to date on emails and Teams post, policy and procedures
Point of service
Cash collections (estimates, co-pays, past due balances)
Direct Admits/Transfers
Documenting accounts (what did rep do with account, using smart phrases, follow-ups if needed)
Maintain assigned WQs
Knowledge on EPIC (maintaining updated knowledge)
Escalating accounts that are not financially secure to appropriate leadership (ex: inactive coverage, self-pay, authorizations not completed)
Assessing equipment is working properly (ex: Scanner, CC machine, Palm Scanner, and camera) and doing monthly audits on credit card machines.
Maintain 90% on monthly Audit score
Attend mandatory Spring and Autumn Training
Demonstrates knowledge and competency in the operation and maintenance of equipment within the work area, i.e. printers, copiers, faxes, etc.
Adheres to established network policy and procedures related to job functions.
Performs data entry with a working knowledge of the unit specific computer systems, EPIC, Peoplesoft, Midas, etc.
Demonstrates accuracy when performing the primary job function.
Abides by established Personnel Policies and Procedures.
Has knowledge of HIPAA rules and regulations and abides by the same.
Participates and or assists with the orientation of new or existing staff.
Participates in Staff and Employee meetings/Huddles
Participates in voluntary and required in-service and education programs.
Participates in Performance Improvement by identifying areas needing improvement.
Obtain HFMA certification within a year of hire date.
Observes customer service standards.
Demonstrates excellent communication skills.
Understands/applies a team concept.
Adheres to hospital confidentiality statement.
Demonstrates a knowledge and understanding of National Patient Safety Goals.