Representative I, Patient Access-Full time-Days

Employment Type:

Full time

Shift:

Day Shift

Description:

Purpose

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.

Shift:

Monday thru Friday 0730-1600 Flexible to work Emergency Room Department Registration as needed as well as occasional hours on weekends.

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.

PAR I

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

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 organization’s 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.

Our Commitment