Patient Access Representative

Trinity Health•Grove City, OH

31d•Onsite

About The Position

Position Purpose: Patient Financial Specialist I; Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices. Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history. Abides by the department Service vision. Specialty: Outpatient Location: Hillard 4674 Britton Pkwy, Hilliard, OH 43026 Hours of office: Monday - Friday 7:30am - 4:00pm What You Will Do: 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. Process Focus: 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. Data Management & Analysis: Research & 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.

Requirements

High school diploma or equivalent
HFMA CRCR or NAHAM CHAA required within one (1) year of hire
Entry level position
Minimum one (1) year customer service experience
Patient Access experience preferred

Nice To Haves

Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits, secure necessary authorizations

Responsibilities

Ensures the collection of accurate and complete registration/admission information
Ensures collections of patient deductibles, co-pays, coinsurance and deposits
Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility
Collects payments and facilitates resolution of billing questions
Acts as an information resource to other departments and physician offices
Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations
Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations
Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting
Establishes payment arrangements for patients and evaluates past account history
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
Research & 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.

Benefits

Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
Retirement savings account with employer match starting on day one.
Generous paid time off programs.
Employee recognition programs.
Tuition/professional development reimbursement.
Relocation assistance (geographic and position restrictions apply).
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
Employee Referral Rewards program.
Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.