Patient Access Representative - PRN

Trinity Health•Greensboro, GA

About The Position

This part-time, PRN position has open availability requirements, including availability during the week and on weekends. The role provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. It 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 supports Trinity Health’s mission, values, vision, actions, and promise in its decisions and behaviors. Work includes researching, collecting, and analyzing information; identifying opportunities and developing solutions; collaborating on performance improvement; and distributing analytical reports. The role uses multiple system applications to analyze information, create reports, and develop educational materials while following applicable policies and procedures concerning quality, confidentiality, and safety. The position may involve researching and compiling information for operational projects, synthesizing data into detailed summaries and graphical presentations, identifying trends and practical options, and using operational measurements to demonstrate progress, return on investment, and impact. The employee is expected to maintain working knowledge of applicable laws, regulations, and Trinity Health compliance and conduct requirements. The posting describes several functional role levels. PAR I is an entry-level role. PAR II performs PAR I activities and is cross-trained in Pre-Service, the Emergency Department, and/or Bed Desk. The Patient Access Account Specialist uses specialized knowledge and analysis to support organizational objectives, may direct a project or project team, reviews and edits work for correctness under payer guidelines, resolves items to ensure accurate billing, and processes payments timely. No benefits are offered with this position.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
PAR I: at least one year of customer service experience.
PAR II: at least two years of hospital registration or insurance verification experience upon hire.
PAR II: knowledge of medical terminology, diagnostic coding, and procedural coding, and ability to explain insurance benefits.
Patient Access Account Specialist: at least two years of hospital registration or insurance verification experience.
Open availability during the week and on weekends.

Nice To Haves

Patient Access experience is preferred for PAR I.
Medical terminology and knowledge of diagnostic and procedural coding.
Insurance verification experience, ability to explain benefits, and ability to secure necessary authorization.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments and ensure patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Demonstrate Trinity Health’s mission, values, vision, actions, and promise in behaviors, practices, and decisions.
Research, collect, and analyze information; identify opportunities, develop solutions, and lead through resolution.
Collaborate on performance improvement activities and distribute analytical reports.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Research and compile information for operational projects and initiatives; synthesize and analyze data and provide detailed summaries, graphical presentations, trends, and practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Maintain working knowledge of applicable laws, regulations, and organizational compliance, conduct, policy, and safety requirements.
For PAR II, perform PAR I duties and cross-train in Pre-Service, the Emergency Department, and/or Bed Desk.
For Patient Access Account Specialist duties, analyze, process, and edit items for correctness based on payer guidelines; resolve items, ensure claims are billed accurately, and process payments timely.
A Patient Access Account Specialist may support colleagues and leadership, serve as a peer influencer, and direct a project or project team.