Representative, Patient Access I

Employment Type

Full time

Shift

Rotating Shift

Description

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.

Minimum Qualifications

High school diploma or equivalent.

HFMA CRCR or NAHAM CHAA certifications required within one (1) year of hire.

Additional Qualifications (Nice to Have)

Medical terminology required & knowledge of diagnostic & procedural coding

Insurance verification with the ability to explain benefits, secure necessary authorizations

Physical & Mental Requirements & Working Conditions

Direct Healthcare Services / Indirect Healthcare / Support Services :

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

Perform manual dexterity activities & / or grasping / handling. Frequent

Ability to climb, kneel, crouch & / or operate foot controls. Occasional

Use a computer / other technology. 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

Ability to provide assistance in the event of an emergency. Occasional

Direct Healthcare Services :

Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional

Lift a maximum of 30 pounds unassisted. Occasional

Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Frequent

Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous

Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions. Occasional

Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional

Indirect Healthcare / Support Services :

Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Occasional

Lift a maximum of 30 pounds unassisted. Occasional

Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional

Encounter a clinical / patient facing / hands on interactive work environment. Frequent

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.