Representative, Patient Access

Trinity Health • Brighton, MI

46d • Onsite

About The Position

This position provides patient-focused customer service within the Emergency Department. The role involves performing outpatient and/or inpatient registration and insurance verification functions, collecting patient financial liability payments, and ensuring patients meet financial requirements including Medicare medical necessity, payer pre-certifications, and referrals. The representative will also provide general information to hospital users, patients, families, and physician offices. This role may be filled as a Patient Access Level I or Level II, depending on the selected candidate's prior work experience and qualifications. The position is full-time, 32 hours per week, with an 8-hour night shift from 11 pm to 7 am. It is a fully on-site role.

Requirements

• High School diploma or GED required.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Minimum of two (2) years of hospital registration or insurance verification experience (for Level II).
• Knowledge of medical terminology, diagnostic coding, and procedural coding is required (for Level II).
• Ability to explain insurance benefits (for Level II).

Responsibilities

• Research, collect, and analyze information.
• Identify opportunities, develop solutions, and lead through resolution.
• Collaborate on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Responsible for distribution of analytical reports.
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials.
• Synthesize & analyze data & provide detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
• Leverage program & operational data & measurements to define and demonstrate progress, ROI, and impacts.
• Maintain 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
• Perform outpatient & / or inpatient registration & insurance verification functions.
• Collect patient financial liability payments.
• Ensure that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals.
• Provide general information to hospital users, patients, families, and physician offices.
• Perform all aspects of the Patient Access Rep I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk (for Level II).

Benefits

• Competitive compensation, DAILYPAY
• Benefits effective on Day One! No waiting periods.
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
• Retirement savings plan with employer match and contributions
• Colleague Referral Program to earn cash
• Unlimited career growth opportunities
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED