Patient Access Representative
About The Position
The Patient Access Representative provides patient-focused customer service in the Emergency Room at Mount Carmel New Albany. The role performs outpatient and/or inpatient registration and insurance verification, 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 is part time, Monday through Friday from 6:00 a.m. to 12:30 p.m. The role also involves researching and analyzing information, preparing and distributing analytical reports, supporting operational projects, and contributing to performance improvement efforts focused on program efficiency and patient experience. It uses multiple system applications and applies knowledge of departmental processes and Trinity Health policies to support quality, confidentiality, safety, and compliance.
Requirements
- High school diploma or equivalent.
- HFMA CRCR or NAHAM CHAA certification required within one year of hire.
- Minimum of one year of customer service experience.
- Medical terminology required, with knowledge of diagnostic and procedural coding.
- Insurance verification experience and the ability to explain benefits and secure necessary authorizations.
Nice To Haves
- Patient Access experience preferred.
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.
- Research, collect, and analyze information; identify opportunities, develop solutions, and lead work 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, prepare detailed summaries and graphical presentations showing trends, and recommend 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 and regulations, Trinity Health policies and procedures, the Integrity and Compliance Program, and Code of Conduct to support ethical, professional, compliant, and safe work practices.
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 starting on day one.
- RN-to-BSN tuition fully paid at Mount Carmel’s College of Nursing.
- Relocation assistance, subject to geographic and position restrictions.
- Employee Referral Rewards program.
- DailyPay for eligible colleagues.
- Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
