Representative, Patient Access

Trinity Health•Chelsea, MI

1d•Onsite

About The Position

This position is full on-site. There is no option to work remotely. 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. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports. 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. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.

Requirements

High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
1+ year of customer service experience.
Knowledge of medical terminology, diagnostic coding & procedural coding required.
Ability to explain insurance benefits.

Nice To Haves

Patient access experience preferred.
Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits, secure necessary authorizations

Responsibilities

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.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
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.
Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.