Representative, Patient Access

Trinity Health • Chelsea, MI

1d • Onsite

About The Position

Provides patient focused customer service within the Emergency Department. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families, and physician offices. 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. Note: "patients" refers to patients, clients, residents, participants, customers, members.

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