Patient Access Representative - Byron Center

Trinity Health•Byron Center, MI

21h•Onsite

About The Position

Trinity Health is seeking a Patient Access Representative to provide patient-focused customer service. This role involves performing outpatient and/or inpatient registration and insurance verification functions. The representative will collect patient financial liability payments, ensure patients meet financial requirements (including Medicare medical necessity, payer pre-certifications, and referrals), and provide general information to hospital users, patients, families, and physician offices. The position is full-time with a rotating shift and requires adherence to Trinity Health's mission, values, and code of conduct.

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

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.
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.
Research & 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.