Patient Access Representative

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

PTO

Life Insurance

Short-term Disability

Long-term Disability

Retirement plan with employer match

Colleague Referral Program

Career growth opportunities

Job summary

Trinity Health Oakland is seeking a Patient Access Representative I/II to perform on-site registration and insurance verification in the Emergency Department. The role includes collecting payments and ensuring patient eligibility criteria are met, with emphasis on Medicare and payer pre-certifications.

Minimum qualifications include a high school diploma or GED, HFMA CRCR or NAHAM CHAA within one year of hire.

Qualifications

• High School diploma or GED required.
• HFMA CRCR or NAHAM CHAA within one year of hire.
• Experience in patient access, registration or insurance verification is preferred.

Responsibilities

• Research, collect, and analyze information related to patient accounts.
• Perform outpatient and/or inpatient registration and insurance verification.
• Collect patient financial liability payments and verify eligibility.
• Provide information to hospital users, patients and physicians.

Skills

Data analysis

Report generation

Communication

Education

High School diploma or GED

HFMA CRCR

NAHAM CHAA

Job description

Employment Information

Employment Type: Full time
Shift: Evening Shift
Description: Evening shift 12pm-8:30pm
Department: Emergency Department
Location: Trinity Health Oakland
Shift available: Evening
Status: Full-time
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.

About Trinity Health

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.