Patient Access Representative

Trinity Health•Dublin, OH

11d•Onsite

About The Position

The Patient Access Representative, identified in the position purpose as Patient Financial Specialist I, ensures accurate and complete patient registration and admission information and completion of required forms. The role collects patient deductibles, co-pays, coinsurance, deposits, and other payments; gathers and evaluates confidential patient financial data to determine eligibility for financial assistance or patient financial responsibility; and helps resolve billing questions. The representative serves as an information resource for other departments and physician offices, establishes payment arrangements, and evaluates past account history. The role requires understanding diagnosis and procedure coding using CPT and ICD-9, third-party requirements and regulations, and applicable legislation concerning medical and financial information, debt collection, and credit reporting. The representative also follows the department’s Service vision. This is a part-time role that floats throughout the hospital, including the main hospital and emergency room, at 4105 Emerald Pkwy, Dublin, Ohio. The scheduled hours are 8:00 a.m.–6:30 p.m. Saturday and 11:00 a.m.–9:30 p.m. Sunday. Duties include patient registration, insurance verification, patient communication, soft collections during registration, and use of EPIC.

Requirements

High school diploma or GED required.
Demonstrated experience may be used in lieu of a degree.
Working knowledge of Medicare, Medicaid, and other third-party information requirements and regulations.
Working knowledge of third-party payor benefits, requirements, and regulations affecting registration procedures.
Working knowledge of CPT and ICD-9 coding and payor reimbursement methodologies.

Nice To Haves

Associate’s degree in Healthcare Administration, Business Administration, or a related field preferred.
At least three years of experience in a physician’s office, clinic, hospital business office, financial service setting, or related area involving public-facing collection of data and funds preferred.

Responsibilities

Register patients and ensure accurate and complete registration/admission information and required forms.
Verify insurance and demonstrate knowledge of third-party payor benefits, requirements, and regulations affecting registration.
Collect patient deductibles, co-pays, coinsurance, deposits, and other payments, including soft collections during registration.
Gather and evaluate confidential patient financial information to determine qualification for financial assistance or patient financial responsibility.
Communicate with patients and facilitate resolution of billing questions.
Establish payment arrangements and evaluate patients’ past account history.
Act as an information resource to other departments and physician offices.
Apply understanding of CPT and ICD-9 coding, diagnosis and procedure relationships, and payor reimbursement methodologies to support compliance with third-party regulations.
Follow legislation and regulations concerning medical and financial information, debt collection, and credit reporting.
Use EPIC and abide by the department Service vision.

Benefits

Medical, dental, and vision coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition and professional development reimbursement.
Relocation assistance, subject to geographic and position restrictions.
Discounted tuition and enrollment opportunities at Mount Carmel College of Nursing.
Employee Referral Rewards program.
DailyPay for eligible colleagues.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.