Patient Access Representative
About The Position
Provides patient focused customer service within the Emergency Department. 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, and physician offices. Note: “patients” refers to patients, clients, residents, participants, customers, members This position may be filled as a Patient Access level I or level II based on the prior work experience and matched qualifications of the selected incumbent.
Requirements
- High School diploma or GED required.
- HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
- Performs all aspects of the Patient Access Rep I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk
- Minimum of two (2) years of hospital registration or insurance verification experience.
- Knowledge of medical terminology, diagnostic coding, and procedural coding is required.
- Ability to explain insurance benefits.
Responsibilities
- Research, collect, and analyze information.
- Identify opportunities, develop solutions, and lead 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, and develop educational materials.
- 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 and demonstrate progress, ROI, and 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
Benefits
- Competitive compensation, DAILYPAY
- Benefits effective on Day One! No waiting periods.
- Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
- Retirement savings plan with employer match and contributions
- Colleague Referral Program to earn cash
- Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country
- Tuition Reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
251-500 employees
