Patient Access Representative I

Trinity Health • Westerville, OH

11d • Onsite

About The Position

The Patient Access Representative I, also described as a Patient Financial Specialist I, ensures accurate and complete patient registration and admission information and completes required forms. The role collects patient deductibles, co-pays, coinsurance, deposits, and other payments; gathers and evaluates confidential patient financial information to determine financial assistance eligibility and patient responsibility; and helps resolve billing questions. The representative serves as an information resource to other departments and physician offices, establishes payment arrangements, and reviews past account history. The role requires understanding diagnosis and procedure coding using CPT and ICD-9, third-party payer requirements and regulations, and applicable legislation concerning medical and financial information, debt collection, and credit reporting. The position is in the Emergency Room specialty and uses EPIC.

The schedule includes Thursday 6:30 p.m.–7:00 a.m., every other Saturday and Sunday, and Friday 7:30 p.m.–6:00 a.m. The posting lists the location as 500 S Cleveland Ave, Westerville, OH 43081.

Requirements

• High school diploma or GED required.
• Demonstrated experience may be used in lieu of a degree.
• Preferred minimum of three years of experience in a physician’s office, clinic, hospital business office, financial services setting, or related area involving public interaction and collection of data and funds.
• Working knowledge of third-party payer benefits, requirements, and regulations impacting registration procedures.
• Working knowledge of CPT and ICD-9 coding and payer reimbursement methodologies.
• Understanding of Medicare, Medicaid, and other third-party information requirements and regulations.

Nice To Haves

• Associate’s degree in Healthcare Administration, Business Administration, or a related field.
• Minimum of three years of relevant experience in a physician’s office, clinic, hospital business office, financial services setting, or related area dealing with the public in collection of data and funds.

Responsibilities

• Register patients and ensure registration and admission information is accurate and complete.
• Complete required patient forms and verify insurance.
• Communicate with patients and collect deductibles, co-pays, coinsurance, deposits, and other payments.
• Gather and evaluate confidential patient financial information to determine eligibility for financial assistance and patient financial responsibility.
• Facilitate resolution of billing questions and establish payment arrangements.
• Evaluate patients’ past account history.
• Act as an information resource to other departments and physician offices.
• Use CPT and ICD-9 coding knowledge to understand the relationship between diagnoses and procedures and support compliance with third-party requirements.
• Understand Medicare, Medicaid, and other third-party information requirements and adhere to applicable regulations.
• Demonstrate working knowledge of third-party payer benefits, requirements, registration regulations, and reimbursement methodologies.
• Abide by applicable legislation concerning disclosure of medical and financial information, debt collection, and credit reporting.
• Follow the department Service vision.
• Use EPIC.

Benefits

• Medical, dental, and vision coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Paid time off programs.
• Employee recognition programs.
• Tuition and professional development reimbursement starting on day one.
• RN-to-BSN tuition fully paid at Mount Carmel’s College of Nursing.
• Relocation assistance, subject to geographic and position restrictions.
• Employee Referral Rewards program.
• DailyPay for eligible colleagues.
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED