Representative I, Patient Access-full time-Days-Aledo

About the role

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.

Responsibilities

• 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.
• Distributes 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.

  Requirements

  • Entry level position.
  • Minimum one (1) year customer service experience.
  • Patient Access experience preferred.
  • Minimum 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.
  • Analyzes, processes & edits for correctness based on payer guidelines.
  • Resolves items & ensures claims are billed accurately.
  • Processes payments timely.

    Qualifications

    PAR I Entry level position.

    Skills

    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. Analyzes, processes & edits for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

    Benefits

    N/A

    Pay

    $15.75-$23.63

    Schedule

    Full-time 40 hours per week-day shift0600-1430 Every other weekends Some holidays