Representative I, Patient Access-Full time-Days

Employment Type: Full time.

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

• Knows, understands, incorporates & demonstrates 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 & processes to ensure quality, confidentiality & safety are prioritized.
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
• 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 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.
• 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.

Schedule

Hours 0700-1530 Every other weekend Some holidays