Patient Access Representative - Mother Baby

Description

The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors.

Status

Full Time, Second Shift 40 hours/week
Wk 1: Sunday 3p-11p, Tuesday - Friday 3p-11p
Wk 2: Monday - Thursday 3p-11p, Saturday 3p-11p

Training

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

Location

Onsite, Grand Rapids Mother/Baby Jefferson Ave

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

• Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions
• 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
• Utilizes multiple system applications to perform analysis, create reports & develop educational materials
• Incorporates basic knowledge of Trinity Health policies, practices & procedures to ensure quality, confidentiality & safety are prioritized
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge
• Researches & compiles information to support ad-hoc operational projects & initiatives
• Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommends 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
• 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