Patient Access - PRN

Trinity Health•Athens, GA

About The Position

This part-time PRN position requires open availability during the week and on weekends. The role provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. It collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity and payer pre-certifications and referrals. The position also provides general information to hospital users, patients, families, and physician offices. The role supports operational analysis and performance improvement by researching, collecting, compiling, and analyzing information; preparing analytical reports and data summaries; identifying trends and practical solutions; and supporting leadership decision-making. It uses multiple system applications to perform analysis, create reports, and develop educational materials, while following applicable policies and prioritizing quality, confidentiality, safety, and compliance. The posting describes several functional role levels. PAR I is an entry-level role. PAR II performs PAR I duties and is cross-trained in and performs activities in Pre-Service, the Emergency Department, and/or Bed Desk. The Patient Access Account Specialist uses specialized knowledge to support organizational areas, analyze and process items for correctness under payer guidelines, resolve issues, ensure claims are billed accurately, and process payments promptly. No benefits are aligned with this position.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
Minimum one year of customer service experience for PAR I.
For PAR II, a minimum of two years of hospital registration or insurance verification experience upon hire.
For PAR II, knowledge of medical terminology, diagnostic coding, and procedural coding is required.
For PAR II, ability to explain insurance benefits.
For Patient Access Account Specialist, at least two years of hospital registration or insurance verification experience.

Nice To Haves

Patient Access experience is preferred for PAR I.
Medical terminology and knowledge of diagnostic and procedural coding.
Insurance verification experience, ability to explain benefits, and ability to secure necessary authorization.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments.
Ensure patients meet financial requirements, including Medicare medical necessity and payer pre-certifications and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Research, collect, compile, and analyze information for operational projects and initiatives.
Collaborate on performance improvement activities related to program efficiency and patient experience.
Distribute analytical reports.
Use system applications to perform analysis, create reports, and develop educational materials.
Prepare detailed data summaries and graphical presentations that illustrate trends and recommend practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
For PAR II, perform PAR I activities and cross-trained activities in Pre-Service, the Emergency Department, and/or Bed Desk.
For the Patient Access Account Specialist role, analyze, process, and edit items for correctness based on payer guidelines; resolve items; ensure claims are billed accurately; and process payments timely.
Maintain knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines, and adhere to safe, ethical, and professional work practices.