Patient Access Representative

Trinity Health • Dublin, OH

7d • Onsite

About The Position

Provides patient-focused customer service. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families, and physician offices. Utilizes multiple system applications to perform analysis, create reports, and develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices, and processes to ensure quality, confidentiality, and safety are prioritized. Demonstrates knowledge of departmental processes and procedures and ability to readily acquire new knowledge. Researches and compiles information to support ad-hoc operational projects and initiatives. Synthesizes and analyzes data and provides detailed summaries including graphical data presentations illustrating trends and recommending practical options or solutions while considering the impact on business strategy and supporting leadership decision making. Leverages program and operational data and measurements to define and demonstrate progress, ROI, and impacts. Maintains a working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies, procedures, and guidelines in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior and 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.
• Patient Access experience preferred.

Nice To Haves

• 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 and/or inpatient registration and insurance verification functions.
• Collects patient financial liability payments.
• Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals.
• Provides general information to hospital users, patients, families, and physician offices.
• Researches, collects, and analyzes information.
• Identifies opportunities, develops solutions, and leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience.
• Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports, and develop educational materials.
• Incorporates basic knowledge of Trinity Health policies, practices, and processes to ensure quality, confidentiality, and safety are prioritized.
• Demonstrates knowledge of departmental processes and procedures and ability to readily acquire new knowledge.
• Researches and compiles information to support ad-hoc operational projects and initiatives.
• Synthesizes and analyzes data and provides detailed summaries including graphical data presentations illustrating trends and recommending practical options or solutions while considering the impact on business strategy and supporting leadership decision making.
• Leverages program and operational data and measurements to define and demonstrate progress, ROI, and impacts.
• Maintains a working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies, procedures, and guidelines in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior and safe work practices.

Benefits

• 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 starting on day one.
• RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
• Relocation assistance (geographic and position restrictions apply).
• Employee Referral Rewards program.
• DailyPay - ability 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.

What This Job Offers

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