About The Position

St. Peter's Health Partners is seeking an individual to assist with clerical duties associated with keeping the department running smoothly. This role, also known as Representative I - Patient Access, provides patient-focused customer service. The associate performs outpatient and/or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. The role also involves providing general information to hospital users, patients, families & physician offices. A two-week training period is required, Monday - Friday, 8:00 AM - 4:30 PM. Holiday and/or weekend rotation is required.

Requirements

  • High school diploma or equivalent.
  • HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
  • Minimum one (1) year customer service experience.

Nice To Haves

  • Medical terminology required & knowledge of diagnostic & procedural coding
  • Insurance verification with the ability to explain benefits, secure necessary authorizations
  • Patient Access experience preferred.

Responsibilities

  • Provides patient focused customer service.
  • Performs outpatient & / or inpatient registration & insurance verification functions.
  • Collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals.
  • Provides general information to hospital users, patients, families & physician offices.
  • 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

  • Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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