Representative I, Patient Access-Part time-Nights
About The Position
Provides patient-focused customer service. 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. Provides general information to hospital users, patients, families & physician offices. Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions. Work Focus: 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. Process Focus: 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. Data Management & Analysis: 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.
Requirements
- Minimum one (1) year customer service experience.
- Patient Access experience preferred.
- Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.
- Uses specialized knowledge to support key areas of the organization related to an area of expertise.
- Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives.
- Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
- Responsible for analyzing, processing & editing for correctness based on payer guidelines.
- Resolves items & ensures claims are billed accurately.
- Processes payments timely.
Nice To Haves
- 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.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
No Education Listed
