Representative, Patient Access Full Time Days
About The Position
Full Time Days 8am-830pm 3-12/hour shifts per week Every Other Weekend Holiday Rotation 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 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
- 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
- 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
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
