Representative I, Patient Access-full time-Evernings-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. Minimum one (1) year customer service experience. Patient Access experience preferred. The Patient Access Account Specialist has an 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.
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 (for Account Specialist role)
- 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
- 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
Nice To Haves
- Patient Access experience
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 Mission, Values, Vision, Actions & Promise
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
