Representative I, Patient Access-full time-Nights-Silvis
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. This is an entry-level position. 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
Nice To Haves
- Patient Access experience preferred
Responsibilities
- 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
- Analyzes, processes & edits for correctness based on payer guidelines
- Resolves items & ensures claims are billed accurately
- Processes payments timely
Benefits
- Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
