Trinity Health MI ยท 4 hours ago
SEMI_Rep, Patient Access I
Trinity Health MI is committed to providing compassionate, person-centered care. The Patient Access Representative I role focuses on delivering exceptional customer service while performing registration and insurance verification functions, ensuring patients meet financial requirements and providing essential information to various stakeholders.
Hospital & Health Care
Responsibilities
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
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
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
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
Qualification
Required
Minimum one (1) year customer service experience
High school diploma or equivalent
HFMA CRCR or NAHAM CHAA required within one (1) year of hire
Preferred
Patient Access experience preferred
Knowledge of medical terminology, diagnostic coding & procedural coding required
Ability to explain insurance benefits
Insurance verification with the ability to explain benefits, secure necessary authorizations