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 provides patient-focused customer service, performs outpatient and/or inpatient registration & insurance verification functions, collects patient financial liability payments, and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. The role also provides general information to hospital users, patients, families & physician offices.

Requirements

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

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

  • 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

  • Paid holidays
  • Paid volunteer time
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Disability insurance
  • 401k
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