Representative, Patient Access

Employment Type:
Full time

Shift:
Evening 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.

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.

Patient Access