Representative, Patient Access

Description

Employment Type: Full time
Shift: Evening Shift
Location: Chelsea Hospital
Status: Full Time 40 hours per week
Minimum rate of pay: $16.92
Note: This is a fully on-site role
This position may be filled as a Patient Access level I or level II based on the prior work experience and matched qualifications of the selected incumbent.

Total Rewards and 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

Position Purpose

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.
Note: “patients” refers to patients, clients, residents, participants, customers, members

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 & recommends 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.

Maintain 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.

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.