Patient Access Representative

Trinity Health•Reynoldsburg, OH

17d•Onsite

About The Position

The Patient Access Representative I ensures accurate and complete patient registration and admission information, completes required forms, and collects deductibles, co-pays, coinsurance, deposits, and other payments. The role gathers and evaluates confidential patient financial information to determine eligibility for financial assistance and patient responsibility, helps resolve billing questions, establishes payment arrangements, and reviews past account history. The representative also serves as an information resource for other departments and physician offices. The position requires understanding the relationship between diagnoses and procedures using CPT and ICD-9 coding, as well as Medicare, Medicaid, and other third-party requirements. The representative follows applicable regulations and legislation concerning medical and financial information, debt collection, and credit reporting, and upholds the department’s service vision. The role also researches, collects, and analyzes operational information; prepares and distributes analytical reports; contributes to performance improvement; and supports operational projects and leadership decision-making with data summaries, trends, and practical recommendations. It uses multiple system applications and applies knowledge of Trinity Health policies, processes, and applicable laws to prioritize quality, confidentiality, safety, and ethical conduct. The position is in the Emergency Room specialty in Reynoldsburg, Ohio. The office schedule is 12:00 p.m.–10:30 p.m., with a two-week rotating schedule: Week 1 Sunday, Tuesday, Wednesday, and Thursday; Week 2 Monday, Tuesday, Thursday, and Saturday. Full-time availability from 8:00 a.m.–4:30 p.m. is required during the first two weeks for training.

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.
Medical terminology required.
Must be available full-time during the first two weeks for training, from 8:00 a.m. to 4:30 p.m.

Nice To Haves

Patient Access experience preferred.
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 complete 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 payment arrangements based on past account history.
Act as an information resource for other departments and physician offices.
Apply understanding of diagnosis and procedure relationships using CPT and ICD-9 coding, and comply with Medicare, Medicaid, and other third-party requirements.
Follow legislation and policies concerning disclosure of medical and financial information, debt collection, and credit reporting.
Research, collect, compile, and analyze information for operational projects and initiatives.
Collaborate on performance improvement activities related to program efficiency and patient experience.
Prepare and distribute analytical reports, including summaries and graphical presentations of trends and recommendations.
Use program and operational data and measurements to demonstrate progress, return on investment, and impacts, supporting leadership decision-making.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Follow applicable laws, regulations, Trinity Health policies, and the Integrity and Compliance Program and Code of Conduct.
Maintain knowledge of departmental processes and procedures and acquire new knowledge as needed.
Uphold the department service vision and prioritize quality, confidentiality, safety, ethical behavior, 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 colleagues.
Diversity, Equity, and Inclusion Colleague Resource Groups.