Patient Access Representative
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. 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.
Requirements
- High school diploma or equivalent.
- HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
- Entry level position.
- Minimum one (1) year customer service experience.
Nice To Haves
- Patient Access experience preferred.
- Medical terminology required & knowledge of diagnostic & procedural coding
- Insurance verification with the ability to explain benefits, secure necessary authorizations
Responsibilities
- Provides patient-focused customer service.
- 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 & physician offices.
- 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
- Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
- Retirement savings account with employer match starting on day one.
- Generous paid time off programs.
- Employee recognition programs.
- Tuition/professional development reimbursement.
- Relocation assistance (geographic and position restrictions apply).
- Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
- Employee Referral Rewards program.
- DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday.
- Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
