Representative, Patient Access

Full-time, night-shift role based in Livonia. 40 hours per week, fully on-site.

Total Rewards and Benefits

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

Purpose

Provides patient-focused customer service within the Emergency Department. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures compliance with Medicare medical necessity, payer pre-certifications, and 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 certification required within one (1) year of hire

Responsibilities

• Research, collect, and analyze information
• Identify opportunities, develop solutions, and lead through resolution
• Collaborate on performance improvement activities as indicated by outcomes in program efficiency and patient experience
• Responsible for distribution of analytical reports
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials
• Synthesize and analyze data, providing detailed summaries including graphical presentations illustrating trends and recommending practical options or solutions
• Leverage program and operational data to define and demonstrate progress, ROI, and impacts
• Maintain working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, and other policies to ensure adherence

Work Conditions

• Exposure to unpleasant conditions (sight, touch, sound, smell), fumes, odors, dusts, mists, gases, biohazards, mechanical/electrical hazards, burns, chemicals, radiation, sharp objects
• Exposure to infectious waste, diseases, and conditions
• Occasional exposure to interruptions, shifting priorities, and stressful situations
• Frequent ability to follow tasks through to completion, understand complex ideas, remember multiple tasks over long periods, and work on concurrent tasks
• Continuous ability to read small print, hear sounds and speech patterns, and communicate instructions verbally (in-person or via phone/computer/device) with some background noise
• Continuous sitting with ability to vary physical position or activity
• Frequent ability to maintain a safe working environment and use personal protective equipment (PPE)
• Frequent standing/walking with ability to vary physical position or activity
• Occasional lifting of a maximum of 30 pounds unassisted
• Frequent use of upper and lower extremities, bending, stooping, reaching, pushing, and pulling
• Occasional physical efforts such as transporting, moving, positioning, and ambulating patients

Additional Responsibilities for Patient Access Rep II

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

Additional Qualifications for 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
• Ability to explain insurance benefits