Patient Access Representative

Full-time, evening shift (3–11 pm) position in the Emergency Department at Trinity Health Livingston. 36 hours per week, fully on-site. May be filled as Patient Access level I or II based on experience and qualifications.

Pay

Minimum rate of pay: $16.92 per hour.

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 within one of the largest Catholic healthcare organizations in the country
• Tuition reimbursement

Purpose

Provides patient-focused customer service within the Emergency Department. Performs outpatient and inpatient registration and insurance verification; collects patient financial liability payments and ensures compliance with Medicare medical necessity, payer pre-certifications, and referrals. Offers general information to hospital users, patients, families, and physician offices.

Requirements

• High School diploma or GED required
• HFMA CRCR or NAHAM CHAA certification required within one year of hire

Responsibilities

• Research, collect, and analyze information; identify opportunities, develop solutions, and lead through resolution
• Collaborate on performance improvement activities based on program efficiency and patient experience outcomes
• Distribute analytical reports
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials
• Synthesize and analyze data, providing detailed summaries with graphical presentations to illustrate trends and recommend practical solutions
• Leverage program and operational data to define and demonstrate progress, ROI, and impacts
• Maintain working knowledge of applicable federal, state, and local laws, Trinity Health Integrity & Compliance Program, Code of Conduct, and other policies to ensure adherence

Work Conditions

• Exposure to unpleasant conditions (sight, touch, sound, smell), fumes, odors, dusts, mists, gases, biohazards, mechanical/electrical hazards, radiation, sharp objects, infectious waste, diseases, and stressful situations
• Occasional interruptions and shifting priorities
• Frequent ability to follow tasks through to completion, manage complex ideas, remember multiple tasks, and work on concurrent projects
• Continuous ability to read small print, hear sounds and speech patterns, and communicate instructions verbally (in-person, phone, or device) with background noise
• Continuous sitting with ability to adjust physical position or activity
• Frequent standing, walking, bending, stooping, reaching, pushing, pulling, and use of upper/lower extremities
• Occasional lifting of up to 30 pounds unassisted
• Occasional physical efforts such as transporting, moving, positioning, or ambulating patients
• Frequent use of personal protective equipment (PPE) to maintain a safe working environment

Additional Responsibilities for Patient Access Rep II

• Performs all aspects of the Patient Access Rep I role
• Cross-trained in Pre-Service, Emergency Department, and/or Bed Desk activities

Qualifications for Patient Access Rep II

• Minimum of two years of hospital registration or insurance verification experience
• Knowledge of medical terminology, diagnostic coding, and procedural coding
• Ability to explain insurance benefits