Patient Access Representative - Shelby

Trinity Health•Shelby, MI

1d•Onsite

About The Position

This is a part-time position that allows you to pick up various/variable shift hours. The role supports customer relations, physician relations, patient care, and hospital business services by performing administrative and scheduling tasks for multiple areas. The Specialist I is responsible for pre-registration, scheduling, electronically verifying insurance eligibility, and accurately identifying and collecting patient financial responsibility. This role handles complex scheduled events, including high dollar testing and associated studies, and communicates effectively with service delivery areas to maximize patient flow and customer service. This position initiates the billing process for hospital services and begins the overall patient experience.

Requirements

1 year customer service experience, required
HS Diploma or equivalent
HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

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 & / 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.