Patient Access - PRN

Trinity Health•Athens, GA

About The Position

This part-time, PRN position has open availability during the week and on weekends and does not include benefits. The role provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. It collects patient financial liability payments and helps ensure patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. The position also provides general information to hospital users, patients, families, and physician offices. Depending on the functional role, responsibilities may include research and analysis, reporting, performance improvement, and supporting operational projects and leadership decisions. The position uses multiple system applications and applicable Trinity Health policies and processes, while prioritizing quality, confidentiality, and safety. Patient Access Account Specialists also analyze, process, and edit items for correctness based on payer guidelines, resolve items to ensure claims are billed accurately, and process payments timely. The role requires a high school diploma or equivalent. HFMA CRCR or NAHAM CHAA certification is required within one year of hire. Experience and other qualifications vary by functional role, from entry-level customer service experience to hospital registration or insurance verification experience and knowledge of medical terminology, diagnostic and procedural coding, and insurance benefits.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.
For PAR I: at least one year of customer service experience.
For PAR II: at least two years of hospital registration or insurance verification experience upon hire.
For PAR II: knowledge of medical terminology, diagnostic coding, and procedural coding.
For Patient Access Account Specialist: at least two years of hospital registration or insurance verification experience.
Ability to explain insurance benefits.
Ability to research and analyze information and apply critical thinking and problem-solving skills.
Ability to use multiple system applications.

Nice To Haves

Patient Access experience preferred.
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, payer pre-certifications, and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Research, collect, and analyze information; identify opportunities and develop solutions.
Collaborate on performance improvement activities related to program efficiency and patient experience.
Distribute analytical reports and use system applications to perform analysis, create reports, and develop educational materials.
Research and compile information for ad-hoc operational projects and initiatives.
Synthesize and analyze data, prepare detailed summaries and graphical presentations illustrating trends, and recommend practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Follow applicable laws, regulations, Trinity Health policies, procedures, guidelines, and Code of Conduct.
For PAR II roles, perform PAR I activities and cross-trained activities in Pre-Service, the Emergency Department, and/or Bed Desk.
For Patient Access Account Specialist roles, analyze, process, and edit items for correctness based on payer guidelines; resolve items to ensure claims are billed accurately; and process payments timely.