Representative, Patient Access

Trinity Health Mid-Atlantic; Pontiac (MI); On-site; USD 37,000 - 58,000; Full time

Benefits offered by this job

DailyPay

Benefits Day One

Medical coverage

Dental coverage

Vision coverage

PTO

Life Insurance

Disability insurance

Retirement match

Tuition Reimbursement

Referral program

Career growth

Job summary

Trinity Health Oakland is hiring a Patient Access Rep II to provide patient-focused registration and insurance verification in the Emergency Department. The role is fully on-site with cross-training across Pre-Service and Bed Desk functions.

Minimum qualifications include hospital registration or insurance verification experience and knowledge of medical terminology, diagnostic coding, and procedural coding. HFMA CRCR or NAHAM CHAA within one year of hire is required.

Qualifications

• Knowledge of medical terminology, diagnostic coding, and procedural coding is required.
• HFMA CRCR or NAHAM CHAA within one year of hire.

Responsibilities

• Research, collect, and analyze information.
• Explain insurance benefits and eligibility to patients and departments.
• Distribute analytical reports and develop educational materials.
• Maintain compliance with relevant laws, policies, and procedures.

Skills

Medical terminology

Diagnostic coding

Procedural coding

Education

HFMA CRCR

NAHAM CHAA

Job description

Employment Type: Full time Shift: Night Shift Description: We have multiple openings currently, with our full time opening being on Night Shift. (36 hours, 3 12 hour shifts. Approximatley 6pm-6:30am). We also have a part-time day shift position available as of 9/22, and an open contingent role for coverage on all shifts. Department: Emergency Department Location: Trinity Health Oakland 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 organization 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.

Work Conditions

Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional Exposure to interruptions, shifting priorities & stressful situations. Frequent Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal communications (in-person & / or over the phone / computer / device / equipment assigned) with some background noise. Continuous Sit with the ability to vary / adjust physical position or activity. Continuous Maintain a safe working environment & use available personal protective equipment (PPE). Frequent Perform activities that require standing / walking with the ability to vary / adjust physical position or activity. Lift a maximum of 30 pounds unassisted. Occasional Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Frequent Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating patients). Occasional

Additional Functions of a Patient Access Rep II

• 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 $1.5billion 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.