Representative I, Patient Access-full time-Evenings-Aledo
About The Position
Provides patient-focused customer service. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families, and physician offices. This is an entry-level position. Our Trinity Health Culture: Knows, understands, incorporates, and demonstrates our Trinity Health Mission, Values, Vision, Actions, and Promise in behaviors, practices, and decisions. Work Focus: Researches, collects, and analyzes information. Identifies opportunities, develops solutions, and leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience. Responsible for the distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports, and develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices, and processes to ensure quality, confidentiality, and safety are prioritized. Demonstrates knowledge of departmental processes and procedures and 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
- Minimum of two plus (2+) years hospital registration or insurance verification experience (for Patient Access Account Specialist)
- 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
Nice To Haves
- Patient Access experience
Responsibilities
- Performs outpatient and/or inpatient registration and insurance verification functions
- Collects patient financial liability payments
- Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals
- Provides general information to hospital users, patients, families, and physician offices
- Researches, collects, and analyzes information
- Identifies opportunities, develops solutions, and leads through resolution
- Collaborates on performance improvement activities
- Responsible for distribution of analytical reports
- Utilizes multiple system applications to perform analysis, create reports, and develop educational materials
- Incorporates basic knowledge of Trinity Health policies, practices, and processes
- 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
- 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
- Responsible for analyzing, processing & editing for correctness based on payer guidelines
- Resolves items & ensures claims are billed accurately
- Processes payments timely
Benefits
- Charity care
- Community benefit programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
