Representative, Patient Access

About the Role

Provides patient focused customer service within the Emergency Department. Performs outpatient and/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, and physician offices.

Minimum Qualifications

• High School diploma or GED required
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire

Essential Functions

• Research, collect, and analyze information. Identify opportunities, develop solutions, and lead 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, and develop educational materials
• 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 and demonstrate progress, ROI, and 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

Work Conditions

• Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell
• Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.)
• Exposure to or subject to noise, infectious waste, diseases & conditions
• Occasional Exposure to interruptions, shifting priorities & stressful situations
• Frequent Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects
• Continuous Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise
• Continuous Sit with the ability to vary / adjust physical position or activity
• Continuous Maintain a safe working environment & use available personal protective equipment (PPE)
• Frequent Perform activities that require standing / walking with the ability to vary / adjust physical position or activity
• Lift a maximum of 30 pounds unassisted
• Occasional Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling
• Frequent Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients)

Additional Functions of a Patient Access Rep II

• Performs all aspects of the Patient Access Rep I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk

Required Qualifications of a Patient Access Rep II

• Minimum of two (2) years of hospital registration or insurance verification experience
• Knowledge of medical terminology, diagnostic coding, and procedural coding is required
• Ability to explain insurance benefits

Benefits

• Competitive compensation, DAILYPAY
• Benefits effective on Day One! No waiting periods
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability
• Retirement savings plan with employer match and contributions
• Colleague Referral Program to earn cash
• Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country
• Tuition Reimbursement