Patient Access Representative

Trinity Health MI; Shelby Charter Township (MI); On-site; USD 21,000 - 27,000; Part time

Job summary

Trinity Health MI in Shelby, MI is seeking a part-time Patient Access/Insurance Verification representative for 24 hours per week. The position requires rotating days/nights, weekends and holidays, with training Monday-Friday, 8am-4:30pm for two weeks.

Qualifications include 1 year of customer service, a high school diploma, and HFMA CRCR or NAHAM CHAA within one year of hire. Nice to have medical terminology and knowledge of diagnostic and procedural coding and insurance verification to explain

Qualifications

• 1 year of customer service experience
• HS Diploma or equivalent
• HFMA CRCR or NAHAM CHAA within one year of hire

Responsibilities

• Provides patient focused customer service.
• Performs outpatient & 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.

Skills

Customer service

Medical terminology

Insurance verification

Education

HS Diploma or equivalent

HFMA CRCR or NAHAM CHAA

Job description

Employment Type:

• Part time

Shift:

• Day Shift

Description:

Schedule:

• 24 hours per week (rotating days/nights, weekends and holidays)

Training:

The first two weeks of training are M-F, 8a-430pm must be able to attend this*

Location

Onsite, Shelby

Minimum Qualifications:

• 1 year customer service experience, required
• HS Diploma or equivalent
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Additional Qualifications (nice to have) Medical terminology required & knowledge of diagnostic & procedural coding Insurance verification with the ability to explain benefits, secure necessary authorizations

What you will do:

• 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.

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.