Patient Access Representative

Trinity Health•Columbus, OH

1d•Onsite

About The Position

The Patient Access Representative works in Mount Carmel East’s Emergency Room patient registration area. The role ensures accurate and complete patient registration and admission information, completes required forms, and collects deductibles, co-pays, coinsurance, deposits, and other payments. It gathers and evaluates confidential patient financial information to determine eligibility for financial assistance and patient financial responsibility, answers billing questions, establishes payment arrangements, and reviews prior account history. The representative serves as an information resource to other departments and physician offices and applies knowledge of CPT and ICD-9 coding, Medicare, Medicaid, and other third-party requirements. The role follows applicable requirements governing medical and financial information, debt collection, and credit reporting, as well as departmental service expectations. The position also researches, collects, and analyzes information for operational projects and initiatives; prepares analytical reports and educational materials; and presents findings, trends, and practical recommendations to support leadership decision-making. It collaborates on performance improvement activities related to program efficiency and patient experience, uses multiple system applications, and applies knowledge of Trinity Health policies, processes, and procedures to prioritize quality, confidentiality, and safety. The role requires a high school diploma or equivalent, at least one year of customer service experience, and HFMA CRCR or NAHAM CHAA certification within one year of hire. Patient Access experience is preferred. Medical terminology, diagnostic and procedural coding knowledge, and insurance verification and authorization skills are listed as additional qualifications. The work schedule is 10:00 a.m.–8:30 p.m. on a rotating two-week pattern. Full-time availability is required during the first two weeks of training, scheduled 8:00 a.m.–4:30 p.m.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
At least one year of customer service experience.
Must be available full time during the first two weeks for training, scheduled 8:00 a.m.–4:30 p.m.

Nice To Haves

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

Responsibilities

Ensure accurate and complete registration and admission information and completion of required patient forms.
Collect patient deductibles, co-pays, coinsurance, deposits, and other payments.
Gather and evaluate confidential patient financial data to determine financial-assistance eligibility and patient financial responsibility.
Facilitate resolution of billing questions and establish payment arrangements for patients.
Evaluate patients’ past account history.
Act as an information resource to other departments and physician offices.
Apply knowledge of diagnosis and procedure relationships using CPT and ICD-9 coding to support compliance with third-party requirements.
Understand Medicare, Medicaid, and other third-party information requirements and adhere to applicable regulations.
Comply with legislation concerning disclosure of medical and financial information, debt collection, and credit reporting.
Research, collect, compile, synthesize, and analyze information for operational projects and initiatives.
Prepare analytical reports and graphical presentations that illustrate trends and recommend practical options or solutions.
Use program and operational data and measurements to demonstrate progress, return on investment, and impacts.
Collaborate on performance improvement activities based on program efficiency and patient experience outcomes.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Follow Trinity Health policies, practices, processes, compliance guidance, and departmental procedures to prioritize quality, confidentiality, safety, and ethical conduct.
Abide by the department’s service vision.