Representative, Patient Access

About the role

Full-time, 32 hours per week, night shift (11 pm–7 am). Located at Trinity Health Livingston. Fully on‑site. This position may be filled as a Patient Access Representative I or II based on prior experience and matched qualifications.

Responsibilities

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

• 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.

Requirements

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

Qualifications

• 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

• 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

Pay

Competitive compensation; DAILYPAY (daily pay)

Schedule

8 Hour Night Shift, 11 pm–7 am. Full Time, 32 hours per week.