Patient Access Representative

Schedule

24 hours per week (rotating days/nights, weekends and holidays). The first two weeks of training are Monday–Friday, 8:00 AM–4:30 PM; must be able to attend this training.

Location

Onsite, Shelby

Qualifications

• High school diploma or equivalent
• One year of customer service experience (required)
• HFMA CRCR or NAHAM CHAA certification required within one year of hire
• Medical terminology
• Knowledge of diagnostic and procedural coding
• Insurance verification experience, including ability to explain benefits and secure necessary authorizations

Responsibilities

• Provide patient-focused customer service
• Perform outpatient and inpatient registration and insurance verification
• Collect patient financial liability payments and ensure compliance with Medicare medical necessity, payer pre-certifications, and referrals
• Provide general information to hospital users, patients, families, and physician offices
• Research, collect, and analyze information to identify opportunities and develop solutions
• Collaborate on performance improvement activities based on program efficiency and patient experience outcomes
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials
• Synthesize and analyze data, providing detailed summaries, graphical presentations, and recommendations
• Maintain knowledge of applicable federal, state, and local laws, Trinity Health policies, and compliance standards