Patient Access Rep, I

Employment Type:

Shift:

Description:

Posting Job Description

Posting Job Description

Posting Job Description

Purpose

This position is a part time; PRN with open availability which includes through the week as well as weekends.

There are no benefits that is aligned with this position.

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.

Note: patients refers to patients clients residents participants customers members

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.

Functional Role (not inclusive of titles or advancement career progression)

PAR I

Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

PAR II

Performs PAR I role & is cross trained & performs activities in Pre-Service Emergency Department & / or Bed Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology diagnostic coding & procedural coding required. Ability to explain insurance benefits.

Patient Access Account Specialist

Additional minimum qualification of two plus (2) years hospital registration or insurance verification experience.

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data research analysis critical thinking & problem-solving skills to support colleagues & leadership in achieving organizations strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

Minimum Qualifications

High school diploma or equivalent.

HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Additional Qualifications (nice to have)

Medical terminology required & knowledge of diagnostic & procedural coding

Insurance verification with the ability to explain benefits secure necessary authorization

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.