SEMI_Rep, Patient Access I

Trinity Health; Ann Arbor (MI); Vor Ort; USD 59.000 - 66.000; Vollzeit

Zusammenfassung

A prominent healthcare organization in Ann Arbor, MI seeks a Full-Time Authorization Specialist to provide exceptional patient-focused customer service and perform registration and insurance verification duties. The ideal candidate will have at least one year of customer service experience and a strong understanding of medical terminology. A high school diploma is required. The role offers a salary range of $59,000 to $66,000, reflecting the importance of ensuring financial compliance and smooth patient experiences.

Qualifikationen

• Minimum one year of customer service experience, preferably in patient access.
• Knowledge of medical terminology and coding is required.
• Ability to explain insurance benefits and secure authorizations.

Aufgaben

• Perform outpatient and inpatient registration & insurance verification.
• Collect patient financial liability payments and ensure compliance with requirements.
• Analyze, process, and edit claims based on payer guidelines.

Kenntnisse

Customer service experience

Medical terminology understanding

Insurance verification skills

Ausbildung

High school diploma or equivalent

HFMA CRCR or NAHAM CHAA certification

Jobbeschreibung

Full-Time (40 Hours) Authorization Specialist

Employment Type

Full time

Shift

Evening Shift

Description

Purpose

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.

Note: “patients” refers to patients, clients, residents, participants, customers, members.

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.

Functional Role

PAR I
Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

PAR II
Performs PAR I role & is cross trained & performs activities in Pre‑Service, Emergency Department & or Bed Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. Ability to explain insurance benefits.

Trinity Health
Coordinator, PA & PreService
Patient Access Account Specialist
Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem‑solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

Minimum Qualifications

High school 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.

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.

Location & Salary

Ann Arbor, MI
$59,000.00-$66,000.00