Representative I, Patient Access-Full time-Days

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

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.

Qualifications

• 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.

Skills

• Specialized knowledge to support key areas of the organization related to an area of expertise.
• Data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives.
• Industry experience & specialized knowledge to serve as a peer influencer & direct a project or project team.

Benefits

Not specified.

Pay

Not specified.

Schedule

Hours 0700-1530 Every other weekend Some holidays