SEMI_Rep, Patient Access I

Employment Type:
Full time

Shift:
Evening Shift

Description:
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.

Note: "patients" refers to patients, clients, residents, participants, customers, members

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.

Functional Role (not inclusive of titles or advancement career progression)

PAR I

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

PAR II

Performs PAR I role& is cross trained& performs activities in Pre-Service, Emergency Department& / or Bed

Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification

experience upon hire. Knowledge of medical terminology, diagnostic coding& procedural coding required. Ability

to explain insurance benefits.

Trinity Health

Coordinator, PA& PreService

Patient Access