Under general supervision, responsible for performing the Patient Access Process components including scheduling, registration, and insurance verification. Interacts with patient and physician office staff to schedule basic and complex future services across a wide scope of clinical departments, including the coordination of multiple services in proper sequence for patients, as well as informing patient/doctor's offices of test preparations, insurance requirements, authorizations and financial responsibility for each service. Analyzes tests/procedures ordered with the signs & symptoms for the studies to make appropriate decisions regarding the services needed and the appointments required. Collaborates with multiple departments to best utilize resources, while accommodating physician preferences and patient needs. Speaks directly with multiple departments and locations to resolve numerous scheduling matters including STAT appointments, approvals, block times and appropriate selection of studies to schedule. Manages physician orders and other clinical documentation to ensure it is available and accurate for clinical staff at the time of patient service. Assists other team members with all scheduling related matters. Responsible for the complete and accurate collection of patient demographic and financial information to create the pre-registration episode. Verifies the patients’ insurance and source of payment and determines the coordination of benefits for scheduled services, as well as prevailing regulatory and 3rd party requirements.
REQUIRED EDUCATION, EXPERIENCE AND LICENSUREEducation:
Requires high school diploma or equivalent. 1-2 years post high school education and/or training or the equivalent.
Experience:
Minimum of six months experience as a Patient Access Representative I
Preferred Certification:
Certified Healthcare Access Associate (CHAA through NAHAM)
REQUIRED SKILLS AND ABILITIESDemonstrated computerized system application experience.Critical thinking and problem-solving skills.Analytical ability to effectively and efficiently resolve registration, scheduling and insurance issues.Demonstrated knowledge of the Revenue Cycle processes, components and terminology.Exceptional interpersonal communication skills to effectively communicate with patients, team members, clinical colleagues, medical staff, external agencies and contacts.Exceptional customer services skills and positive personality attributes.Patience in dealing with ordinary, arduous or emotional patients.Use of telephones and call center technology.Ability to type at 35-40 WPM.Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.