Patient Access Representative - Outpatient Behavioral Health

Trinity Health

10d•$18 - $26

About The Position

Patient Access Representative - Outpatient Behavioral Health Employment Type: Full time Shift: Day Shift Description: Monday - Friday -Answer medical providers’ phone calls -Schedule patients for intakes, or follow up appointments as needed -Type letters for patients that medical providers request -Sort Mail -Check in patients as needed -Check out patients when visit is complete -Cancel and reschedule appointments when provider call out -Work referral work queue -Maintain current knowledge of payor insurance requirements, verify using verification system (insurance background strongly preferred) -Strong written and oral communication skills. Strong interpersonal skills. POSITION SUMMARY: The Patient Access Representative -front-end, works directly with patients, family, and various hospital staff to ensure that Patients are taken care of while on their journey with SJH. Patient Access functions consist of but not limited to Desk registration, bedside registration, pre-registration and floating to areas within Patient Access dept to assist as need directed by management. In all locations, the Patient Access will ensure that accounts are financially secure, meaning collecting demographics, insurance information, reviewing financial responsibilities consisting of co-pays, past due balances, and estimates. Job Responsibilities: Admitting/Checking patients on both Emergency and Comprehensive Psychiatric ED boards (CPEP) Ensuring proper documentation with charts/patient (bracelet and labels) Staying updated on workflows for designated task Follow patient identification protocols Appropriately documenting in charts Closing out cash drawers Maintaining appropriate cash in petty cash drawer Scheduling walk-in imaging, TDAP, Bilirubin (newborn test) appointments Floorwork Registration Floating to with other Patient Access locations (cross training) Maintaining Healthstreams courses Maintaining all insurance sign ons are updated Stay up to date on emails and Teams post, policy and procedures Standouts Point of service Cash collections (estimates, co-pays, past due balances) Direct Admits/Transfers Documenting accounts (what did rep do with account, using smart phrases, follow-ups if needed) Maintain assigned WQs Knowledge on EPIC (maintaining updated knowledge) Escalating accounts that are not financially secure to appropriate leadership (ex: inactive coverage, self-pay, authorizations not completed) Assessing equipment is working properly (ex: Scanner, CC machine, Palm Scanner, and camera) and doing monthly audits on credit card machines. Maintain 90% on monthly Audit score Attend mandatory Spring and Autumn Training Additional responsibilities: Demonstrates knowledge and competency in the operation and maintenance of equipment within the work area, i.e. printers, copiers, faxes, etc. Adheres to established network policy and procedures related to job functions. Performs data entry with a working knowledge of the unit specific computer systems, EPIC, Peoplesoft, Midas, etc. Demonstrates accuracy when performing the primary job function. Abides by established Personnel Policies and Procedures. Has knowledge of HIPAA rules and regulations and abides by the same. Professional and Staff Development: Participates and or assists with the orientation of new or existing staff. Participates in Staff and Employee meetings/Huddles Participates in voluntary and required in-service and education programs. Participates in Performance Improvement by identifying areas needing improvement. Obtain HFMA certification within a year of hire date. Displays Commitment to the Hospital Mission: · Observes customer service standards. · Demonstrates excellent communication skills. · Understands/applies a team concept. · Adheres to hospital confidentiality statement. · Demonstrates a knowledge and understanding of National Patient Safety Goals. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.

Requirements

insurance background strongly preferred
Strong written and oral communication skills.
Strong interpersonal skills.
Proficient in the Patient Access Template within EPIC
Complete CPI (Crisis Prevention Intervention) Training
Broad based knowledge or related regulatory compliance requirements.
Competent in basic computer skills
High school graduate a must with at least 2 to 3 years progressive experience in the field.

Nice To Haves

Bachelors or AAS degree is a plus.
Advanced degree is a plus/requirement depending on specific service needs and or requirements.
Ideally the candidate will have some supervisory experience.
Participatory management, team building, motivational, and administrative skills welcomed but not required.

Responsibilities

Answer medical providers’ phone calls
Schedule patients for intakes, or follow up appointments as needed
Type letters for patients that medical providers request
Sort Mail
Check in patients as needed
Check out patients when visit is complete
Cancel and reschedule appointments when provider call out
Work referral work queue
Maintain current knowledge of payor insurance requirements, verify using verification system
Admitting/Checking patients on both Emergency and Comprehensive Psychiatric ED boards (CPEP)
Ensuring proper documentation with charts/patient (bracelet and labels)
Staying updated on workflows for designated task
Follow patient identification protocols
Appropriately documenting in charts
Closing out cash drawers
Maintaining appropriate cash in petty cash drawer
Scheduling walk-in imaging, TDAP, Bilirubin (newborn test) appointments
Floorwork Registration
Floating to with other Patient Access locations (cross training)
Maintaining Healthstreams courses
Maintaining all insurance sign ons are updated
Stay up to date on emails and Teams post, policy and procedures
Point of service
Cash collections (estimates, co-pays, past due balances)
Direct Admits/Transfers
Documenting accounts (what did rep do with account, using smart phrases, follow-ups if needed)
Maintain assigned WQs
Knowledge on EPIC (maintaining updated knowledge)
Escalating accounts that are not financially secure to appropriate leadership (ex: inactive coverage, self-pay, authorizations not completed)
Assessing equipment is working properly (ex: Scanner, CC machine, Palm Scanner, and camera) and doing monthly audits on credit card machines.
Maintain 90% on monthly Audit score
Attend mandatory Spring and Autumn Training
Demonstrates knowledge and competency in the operation and maintenance of equipment within the work area, i.e. printers, copiers, faxes, etc.
Adheres to established network policy and procedures related to job functions.
Performs data entry with a working knowledge of the unit specific computer systems, EPIC, Peoplesoft, Midas, etc.
Demonstrates accuracy when performing the primary job function.
Abides by established Personnel Policies and Procedures.
Has knowledge of HIPAA rules and regulations and abides by the same.
Participates and or assists with the orientation of new or existing staff.
Participates in Staff and Employee meetings/Huddles
Participates in voluntary and required in-service and education programs.
Participates in Performance Improvement by identifying areas needing improvement.
Observes customer service standards.
Demonstrates excellent communication skills.
Understands/applies a team concept.
Adheres to hospital confidentiality statement.
Demonstrates a knowledge and understanding of National Patient Safety Goals.