Patient Access Representative

Trinity Health•Columbus, OH

16d•Onsite

About The Position

The Patient Access Representative I works in patient registration for the emergency room at Mount Carmel East. The role ensures accurate and complete registration and admission information, completion of required forms, and collection of deductibles, co-pays, coinsurance, deposits, and other patient payments. It gathers and evaluates confidential financial information to determine eligibility for financial assistance and patient financial responsibility, helps resolve billing questions, establishes payment arrangements, and reviews patients’ past account history. The representative serves as an information resource for other departments and physician offices. The position requires understanding how diagnoses relate to procedures using CPT and ICD-9 coding, Medicare, Medicaid, third-party requirements, and applicable regulations. It also requires compliance with laws governing medical and financial information, debt collection, and credit reporting, as well as the department’s service vision. The role also researches, collects, and analyzes information; contributes to performance improvement; distributes analytical reports; and uses multiple system applications to create reports and educational materials. It compiles information for operational projects, analyzes data and trends, and provides summaries and practical recommendations to support leadership decisions. The representative maintains knowledge of applicable laws, regulations, Trinity Health policies, and compliance requirements, while prioritizing quality, confidentiality, safety, and ethical conduct. The position is based in the Emergency Room at Mount Carmel East, 6001 E Broad St, Columbus, Ohio. Regular hours are 4:00 p.m. to 2:30 a.m. on a rotating two-week schedule: Week 1, Tuesday, Wednesday, Friday, and Saturday; Week 2, Sunday, Wednesday, Thursday, and Friday. Full-time availability is required during the first two weeks for training, from 8:00 a.m. to 4:30 p.m.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
At least one year of customer service experience.
Entry-level position.
Availability to work the stated full-time rotating schedule and full-time training hours during the first two weeks.

Nice To Haves

Patient Access experience preferred.
Medical terminology and knowledge of diagnostic and procedural coding.
Insurance verification experience, including explaining benefits and securing necessary authorizations.

Responsibilities

Ensure accurate and complete patient registration and admission information and completion of required forms.
Collect patient deductibles, co-pays, coinsurance, deposits, and other payments.
Gather and evaluate confidential patient financial data to determine financial-assistance eligibility and patient financial responsibility.
Facilitate resolution of billing questions and establish patient payment arrangements.
Evaluate patients’ past account history.
Serve as an information resource to other departments and physician offices.
Apply knowledge of diagnosis and procedure relationships, CPT and ICD-9 coding, and third-party requirements to support compliance.
Follow applicable requirements for Medicare, Medicaid, and other third-party payers.
Comply with legislation governing use and disclosure of medical and financial information, debt collection, and credit reporting.
Abide by the department service vision and applicable Trinity Health policies and compliance requirements.
Research, collect, and analyze information; identify opportunities; develop solutions; and lead issues through resolution.
Collaborate on performance-improvement activities based on program efficiency and patient-experience outcomes.
Distribute analytical reports and use system applications to perform analysis, create reports, and develop educational materials.
Research and compile information for ad-hoc operational projects and initiatives.
Synthesize and analyze data, summarize findings, present graphical data illustrating trends, and recommend practical options or solutions.
Use program and operational data and measurements to demonstrate progress, return on investment, and impact.
Maintain knowledge of applicable laws, regulations, policies, procedures, and guidelines, and demonstrate honest, ethical, professional, and safe work practices.

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.
Relocation assistance, subject to geographic and position restrictions.
Discounted tuition and enrollment opportunities at Mount Carmel College of Nursing.
Employee referral rewards program.
DailyPay access for eligible employees.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.