Patient Access Representative - Mother Baby

Trinity Health • Grand Rapids, MI

6d • Onsite

About The Position

The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors.

Requirements

• 1 year customer service experience, required
• HS Diploma or equivalent
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Nice To Haves

• Medical terminology required
• Knowledge of diagnostic & procedural coding
• Insurance verification with the ability to explain benefits, secure necessary authorizations

Responsibilities

• Greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information.
• Registers patients for service delivery.
• Enters patient/guarantor information in the patient accounting system.
• Collects patient signatures on all appropriate forms.
• Images/copies registration documents.
• Obtains and processes signed physician orders.
• Conducts online insurance eligibility/benefit verification on designated cases.
• Notifies patient/guarantor and collects patient liabilities.
• Refers appropriate cases to financial counseling for follow-up and consultation.
• May provide escort and directional support to patients, family members and visitors.
• Researches, collects & analyzes information.
• Identifies opportunities, develops solutions, & leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials.
• Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
• Researches & compiles information to support ad-hoc operational projects & initiatives.
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
• Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.
• Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Benefits

• Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation.
• We are 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, veteran status, or any other status protected by federal, state, or local law.

What This Job Offers

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