Patient Access Representative - PRN

Trinity Health•Lavonia, GA

3d•Onsite

About The Position

Provides patient-focused customer service. Performs outpatient and/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 & physician offices. This position is a part time; PRN with open availability which includes through the week as well as weekends. There are no benefits that is aligned with this position.

Requirements

Minimum one (1) year customer service experience.
High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Nice To Haves

Patient Access experience preferred.
Minimum of two (2) years hospital registration or insurance verification experience upon hire.
Knowledge of medical terminology, diagnostic coding & procedural coding required.
Ability to explain insurance benefits.
Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.
Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits, secure necessary authorization

Responsibilities

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.
Performs PAR I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk.
Uses specialized knowledge to support key areas of the organization related to an area of expertise.
Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives.
Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Responsible for analyzing, processing & editing for correctness based on payer guidelines.
Resolves items & ensures claims are billed accurately.
Processes payments timely.