Patient Access Representative-Full Time

Trinity Health•Langhorne, PA

21h•Onsite

About The Position

The primary function of the Patient Access Representative position is to greet, pre-register and/or register patients in a courteous and professional manner, verify insurance benefits, and check for the necessity of pre-certification, authorization, and referral. This role also involves performing medical necessity checks, securing patient signatures for required hospital forms, and collecting patient’s financial responsibility when required. The position is responsible for providing professional, quality customer service, timely resolution to customer problems, and coordination of services to all customers. It communicates revenue cycle related issues to patients, physicians, physician office staff, and other hospital colleagues. This position rotates into various areas of patient access and may work a variety of shifts, including outpatient, emergency room, and/or inpatient registration functions. It provides general information to hospital colleagues, patients, and families, ensures that patients meet financial requirements, obtains accurate patient demographic and insurance information for timely submission of all encounters, and communicates effectively to service delivery areas to maximize patient flow and customer service. St. Mary Medical Center is a 53-acre state-of-the-art facility with over 700 physicians, nearly 3,000 colleagues, and 1,100 volunteers, committed to providing quality care with compassion and respect. It serves the healthcare needs of nearly 630,000 residents of Bucks County. Trinity Health, the parent organization, is one of the largest not-for-profit, faith-based health care systems in the nation, with 121,000 colleagues and nearly 36,500 physicians and clinicians across 27 states. The system includes 101 hospitals, 126 continuing care locations, 136 urgent care locations, and other health and well-being services. In fiscal year 2023, Trinity Health invested $1.5 billion in communities through charity care and other community benefit programs.

Requirements

HS diploma or equivalency
Minimum one (1) year experience in insurance verification and medical office/hospital customer service
HFMA CRCR or NAHAM CHAA required within one (1) year of hire

Nice To Haves

Associate degree

Responsibilities

Greet, pre-register and/or register patients in a courteous and professional manner
Verify insurance benefits and check for the necessity of pre-certification, authorization and referral
Perform medical necessity checks where needed
Secure patient signatures for required hospital forms
Collect patient’s financial responsibility when required
Provide professional, quality customer service
Provide timely resolution to customer problems
Coordinate services to all customers
Communicate revenue cycle related issues to patients, physicians, physician office staff and other hospital colleagues
Rotate into various areas of patient access and may work a variety of shifts, including outpatient, emergency room and / or inpatient registration functions
Provide general information to hospital colleagues, patients and families
Ensure that patients meet financial requirements
Obtain accurate patient demographic and insurance information to provide timely submission of all encounters
Provide excellent patient focused customer service
Communicate effectively to service delivery areas to maximize patient flow and customer service