Representative I, Patient Access-Full time-Days

Employment Type : Full time

Shift : Day Shift

Description :

0700-1530 with every other weekend and some holidays

Purpose

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.

Essential Functions

Our Trinity Health Culture : Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions.

Work Focus :

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.

Responsible for distribution of analytical reports.

Process Focus : Utilizes multiple system applications to perform analysis create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies practices & processes to ensure quality confidentiality & safety are prioritized.

Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.

Data Management & Analysis :

Research & compiles information to support ad-hoc operational projects & initiatives.

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 & demonstrate progress ROI & 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 in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.

PAR I

Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

Patient Access Account Specialist

Additional minimum qualification of two plus (2) years hospital registration or insurance verification experience.

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 organizations strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

Our Commitment

Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.

Required Experience :

Unclear Seniority

Key Skills

Abinitio,Administration And Accounting,Android,Bid Management,Inventory Management,Embedded C

Experience : years

Vacancy : 1