Patient Access Representative - Byron Center
About The Position
The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery. This includes entering patient/guarantor information into the patient accounting system, collecting patient signatures on all appropriate forms, and imaging/copying registration documents. The role also involves obtaining and processing signed physician orders, conducting online insurance eligibility/benefit verification on designated cases, notifying patients/guarantors, collecting patient liabilities, and referring appropriate cases to financial counseling for follow-up and consultation. Additionally, the representative may provide escort and directional support to patients, family members, and visitors.
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
- Greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information.
- Registers patients for service delivery.
- Enters patient/guarantor information in the patient accounting system.
- Collects patient signatures on all appropriate forms.
- Images/copies registration documents.
- Obtains and processes signed physician orders.
- Conducts online insurance eligibility/benefit verification on designated cases.
- Notifies patient/guarantor and collects patient liabilities.
- Refers appropriate cases to financial counseling for follow-up and consultation.
- May provide escort and directional support to patients, family members and visitors.
- 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.
- Researches & 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.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
