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Patient Access Representative - Rockford, 2nd shift

St. Joseph's Children's Hospital

Job Title

Employment Type: Full time

Shift

Full time, Second Shift, includes weekends and holidays

Week1: 3p-11:30p Sunday, 1-9:30 Monday, 1p-9:30p Wednesday, 1p-9:30p Thursday

Week 2: 1p-9:30p Monday, 1p-9:30p Weds - Fri

Week 3: 1p-9:30p Monday, 1p-9:30pWeds, 1p-9:30p Thursday, 2p-10p Saturday

Training: The first two weeks of training are M-F, 8a-430pm must be able to attend this*

What You Will Do
  • 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.
Minimum Qualifications
  • 1 year customer service experience, required
  • HS 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 authorizations

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.

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.

Vacancy posted 8 days ago
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