Patient Access Representative - Byron Center

Trinity HealthByron Center, MI
Onsite

About The Position

The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors.

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

  • Greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information.
  • Registers patients for service delivery.
  • Enters patient/guarantor information in the patient accounting system.
  • Collects patient signatures on all appropriate forms.
  • Images/copies registration documents.
  • Obtains and processes signed physician orders.
  • Conducts online insurance eligibility/benefit verification on designated cases.
  • Notifies patient/guarantor and collects patient liabilities.
  • Refers appropriate cases to financial counseling for follow-up and consultation.
  • May provide escort and directional support to patients, family members and visitors.
  • 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.

Benefits

  • Trinity Health Mission, Values, Vision, Actions & Promise
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