Patient Access Representative

Trinity Health Mid-Atlantic; Pontiac (MI); On-site; USD 19,000 - 27,000; Full time

Benefits offered by this job

Competitive pay

DailyPay benefits

Full benefits package

Tuition reimbursement

Colleague referral program

Career growth opportunities

Job summary

Trinity Health Oakland is seeking a Patient Access Representative I/II for the Emergency Department to perform registration and insurance verification on-site. The role includes collecting patient payments and providing information on benefits to patients and families.

Qualifications include a High School diploma or GED, HFMA CRCR or NAHAM CHAA within one year, and at least two years of hospital registration or insurance verification experience.

Qualifications

• High School diploma or GED required.
• HFMA CRCR or NAHAM CHAA required within one year of hire.
• Minimum two years hospital registration or insurance verification experience.
• Knowledge of medical terminology, diagnostic coding, and procedural coding is required.

Responsibilities

• Register patients in the Emergency Department and verify insurance details.
• Collect patient financial liabilities and explain benefits and payments.
• Generate and distribute analytical reports to support department performance.
• Maintain compliance with applicable laws, policies, and procedures.

Skills

Customer service

Insurance verification

Medical terminology

Education

High School diploma or GED

HFMA CRCR or NAHAM CHAA

Job description

Employment Type: Full time Shift: Rotating Shift Description: Currently Seeking coverage for 12 hour shifts either 8am-8:30pm or 11am-11:30pm Department: Emergency Department Location: Trinity Health Oakland Shift available: Evening or Day Available Status: Full-time or Part-Time Available Minimum rate of pay: $16.92 Note: This is a fully on-site role This position may be filled as a Patient Access level I or level II based on the prior work experience and matched qualifications of the selected incumbent.

Total Rewards and Benefits

• Competitive compensation
• DAILYPAY Benefits effective on Day One!
• No waiting periods.
• Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability Retirement savings plan with employer match and contributions
• Colleague Referral Program to earn cash
• Unlimited career growth opportunities with one of the largest Catholic healthcare organizations in the country
• Tuition Reimbursement

Position Purpose

Provides patient focused customer service within the Emergency Department. 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, and physician offices. Note: “patients” refers to patients, clients, residents, participants, customers, members

Minimum Qualifications

• High School diploma or GED required.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Essential Functions

• Research, collect, and analyze information.
• Identify opportunities, develop solutions, and lead 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, and develop educational materials.
• 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 and demonstrate progress, ROI, and 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 to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Additional Functions of a Patient Access Rep I

Performs all aspects of the Patient Access Rep I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk

Required Qualifications of a Patient Access Rep II

• Minimum of two (2) years of hospital registration or insurance verification experience.
• Knowledge of medical terminology, diagnostic coding, and procedural coding is required.
• Ability to explain insurance benefits.

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.