Patient Access Representative

Trinity Health•Westerville, OH

4d•Onsite

About The Position

This full-time Patient Access Representative position in Women's Health ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. The role involves collecting patient deductibles, co-pays, coinsurance, and deposits, as well as gathering and evaluating confidential patient financial data to determine qualification for financial assistance and patient financial responsibility. The representative will collect payments, facilitate the resolution of billing questions, and act as an information resource to other departments and physician offices. A key aspect of the role includes understanding the relationship between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third-party regulations, including Medicare and Medicaid. The position also requires adherence to all pertinent legislation regarding the use/disclosure of medical and financial information, debt collection, and credit reporting. Establishing payment arrangements and evaluating past account history are also responsibilities. The role utilizes multiple system applications for analysis, report creation, and educational material development, incorporating knowledge of Trinity Health policies, practices, and processes to prioritize quality, confidentiality, and safety. The representative will research and compile information for operational projects, synthesize and analyze data, and provide detailed summaries with graphical presentations to recommend solutions and support leadership decision-making. A working knowledge of applicable federal, state, and local laws/regulations, the Trinity Health Integrity & Compliance Program, Code of Conduct, and other policies is essential.

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.

Nice To Haves

Patient Access experience preferred.
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 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.
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.
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.
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.
Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.