Patient Access Representative I – 3rd Shift

Jobtailor; Centerville (IA); On-site; USD 65,000 - 80,000; Full time

Job summary

Trinity Health is seeking a data and compliance oriented analyst to support performance improvement and patient experience initiatives. You will research, collect, and analyze information, generate reports, and present trends with charts to inform decision-making.

Must understand medical terminology and coding, possess insurance verification experience, and maintain knowledge of applicable laws and Trinity Health policies.

Qualifications

• High school diploma or equivalent.
• HFMA CRCR or NAHAM CHAA within one year of hire.
• Medical terminology required.
• Knowledge of diagnostic and procedural coding.
• Insurance verification experience and ability to explain benefits.
• Ability to secure necessary authorizations.
• Knowledge of applicable federal, state, and local laws and regulations.
• Familiarity with Trinity Health Integrity & Compliance Program.

Responsibilities

• Research, collect, and analyze information.
• Identify opportunities, develop solutions, and lead through resolution.
• Collaborate on performance improvement activities related to program efficiency and patient experience.
• Distribute analytical reports.
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials.
• Research and compile information to support ad-hoc operational projects and initiatives.
• Synthesize and analyze data, providing detailed summaries with graphical presentations of trends.
• Recommend practical options or solutions while considering business strategy.
• Leverage program and operational data and measurements to define and demonstrate progress, ROI, and impacts.
• Maintain knowledge of applicable laws, regulations, Trinity Health compliance requirements, policies, procedures, and guidelines.
• Uphold honest, ethical, professional behavior and safe work practices.

Skills

Data Analysis

Medical Terminology

Insurance Verification

Regulatory Compliance

Collaboration

Problem Solving

Adaptability

Education

High school diploma or equivalent

HFMA CRCR

NAHAM CHAA

Tools

System Applications

Job description

• Research, collect, and analyze information
• Identify opportunities, develop solutions, and lead through resolution
• Collaborate on performance improvement activities related to program efficiency and patient experience
• Distribute analytical reports
• Utilize multiple system applications to perform analysis, create reports, and develop educational materials
• Research and compile information to support ad-hoc operational projects and initiatives
• Synthesize and analyze data, providing detailed summaries with graphical presentations of trends
• Recommend practical options or solutions while considering business strategy
• Leverage program and operational data and measurements to define and demonstrate progress, ROI, and impacts
• Maintain knowledge of applicable laws, regulations, Trinity Health compliance requirements, policies, procedures, and guidelines
• Uphold honest, ethical, professional behavior and safe work practices

Requirements

• High school diploma or equivalent
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire
• High energy
• Ability to work well in a high-volume environment
• Alignment with Trinity Health Mission, Vision, and Core Values
• Medical terminology required
• Knowledge of diagnostic and procedural coding
• Insurance verification experience with ability to explain benefits
• Ability to secure necessary authorizations
• Knowledge of departmental processes and procedures
• Ability to acquire new knowledge readily
• Working knowledge of applicable federal, state, and local laws and regulations
• Knowledge of Trinity Health Integrity & Compliance Program and Code of Conduct

Core Competencies

Demonstrates expertise in data analysis, report generation, and operational improvement within healthcare settings, while ensuring compliance with relevant laws and regulations. Proficient in medical terminology and coding, with a strong focus on enhancing patient experience and program efficiency.

Highest-signal resume keywords

• Data Analysis
• Medical Terminology
• HFMA CRCR Certification
• Insurance Verification
• Regulatory Compliance

ATS Optimization Keywords

Hard Skills

• Data Synthesis
• Report Generation
• Operational Improvement
• Diagnostic Coding
• Procedural Coding

Soft Skills

• High Energy
• Collaboration
• Problem Solving
• Adaptability

Certifications & Qualifications

• HFMA CRCR
• NAHAM CHAA

Industry Keywords

• Trinity Health Compliance
• Healthcare Regulations
• Patient Experience
• Business Strategy
• Ethical Behavior

Tools & Technologies

• System Applications