Representative, Patient Access

Trinity Health • Livonia, MI

7d

About The Position

Accountability Objectives: Responsible for performing the Patient Access process, completing accurate registration and pre-registration process and insurance verification for eligibility, scheduling for various departments procedures/appointments, entering patient data for services for departments participating in PHS (Pathways Healthcare Scheduling), coordinating multiple services in proper sequence, and informing patient/doctor's office as to preparations and insurance requirements for each service. Collaborates with multiple departments to best utilize equipment and facilities, while accommodating physician preference and patient needs. Displays a courteous, professional manner, proactively developing customer relationships and giving high priority to customer satisfaction. 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. Essential Functions 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

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

Nice To Haves

• Medical terminology required & knowledge of diagnostic & procedural coding
• Insurance verification with the ability to explain benefits, secure necessary authorizations

Responsibilities

• Performing the Patient Access process
• Completing accurate registration and pre-registration process
• Insurance verification for eligibility
• Scheduling for various departments procedures/appointments
• Entering patient data for services for departments participating in PHS (Pathways Healthcare Scheduling)
• Coordinating multiple services in proper sequence
• Informing patient/doctor's office as to preparations and insurance requirements for each service
• Collaborating with multiple departments to best utilize equipment and facilities, while accommodating physician preference and patient needs
• Displaying a courteous, professional manner, proactively developing customer relationships and giving high priority to customer satisfaction
• Providing patient focused customer service
• Performing outpatient & / or inpatient registration & insurance verification functions
• Collecting patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals
• Providing 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

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED