Patient Access Representative

Trinity Health•New Albany, OH

10d•Onsite

About The Position

The Patient Access Representative provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. The role collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. It also provides general information to hospital users, patients, families, and physician offices. The position researches, collects, and analyzes information; identifies opportunities; develops solutions; and supports their resolution. It collaborates on performance improvement activities, distributes analytical reports, and uses multiple system applications to analyze information, create reports, and develop educational materials. The role applies knowledge of Trinity Health policies, practices, and processes to prioritize quality, confidentiality, and safety. The representative researches and compiles information for operational projects, synthesizes and analyzes data, and prepares detailed summaries and graphical presentations that illustrate trends and recommend practical options or solutions. The role uses program and operational data to demonstrate progress, return on investment, and impact, while supporting leadership decision-making. It also maintains working knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines to promote ethical, professional, and safe work practices. This part-time position is based in Main Registration at Mount Carmel New Albany, 7333 Smith's Mill Road, New Albany, Ohio. The stated schedule is Monday 6:30 a.m.–5:00 p.m., Thursday 4:30 a.m.–1:00 p.m., and Friday 4:30 a.m.–5:00 p.m.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
Minimum one year of customer service experience.
Knowledge of departmental processes and procedures, with the ability to readily acquire new knowledge.
Working knowledge of applicable federal, state, and local laws and regulations, Trinity Health's Integrity & Compliance Program and Code of Conduct, and relevant policies, procedures, and guidelines.

Nice To Haves

Patient Access experience preferred.
Medical terminology and knowledge of diagnostic and procedural coding.
Insurance verification experience and the ability to explain benefits and secure necessary authorizations.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments and ensure financial requirements are met, including Medicare medical necessity, payer pre-certifications, and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Research, collect, and analyze information; identify opportunities; develop solutions; and lead through resolution.
Collaborate on performance improvement activities based on program efficiency and patient experience outcomes.
Distribute analytical reports.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Research and compile information to support ad hoc operational projects and initiatives.
Synthesize and analyze data and prepare detailed summaries and graphical presentations illustrating trends and recommending practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impact, supporting leadership decision-making.
Maintain knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines to support ethical, professional, and safe work practices.