Representative, Patient Access

Trinity Health • Chelsea, MI

23h • Onsite

About The Position

This position may be filled as a Patient Access level I or level II based on the prior work experience and matched qualifications of the selected incumbent. The role provides patient focused customer service within the Emergency Department. It involves performing outpatient and/or inpatient registration and insurance verification functions, collecting patient financial liability payments, and ensuring that patients meet financial requirements including Medicare medical necessity, payer pre-certifications, and referrals. The representative also provides general information to hospital users, patients, families, and physician offices.

Requirements

• High School diploma or GED required.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Minimum of two (2) years of hospital registration or insurance verification experience (for Patient Access Rep II).
• Knowledge of medical terminology, diagnostic coding, and procedural coding is required (for Patient Access Rep II).
• Ability to explain insurance benefits (for Patient Access Rep II).

Responsibilities

• Research, collect, and analyze information.
• Identify opportunities, develop solutions, and lead 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, and develop educational materials.
• 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 and demonstrate progress, ROI, and 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
• Performs all aspects of the Patient Access Rep I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk

Benefits

• Competitive compensation, DAILYPAY
• Benefits effective on Day One! No waiting periods.
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
• Retirement savings plan with employer match and contributions
• Colleague Referral Program to earn cash
• Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees