Patient Access Representative - PCC

Overview

Provides patient focused customer service. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families and physician offices.

Full time

Day Shift

We, St Joseph’s Health, and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

To be world-renowned for passionate patient care and outstanding clinical outcomes.

In the spirit of good stewardship, we heal by practicing justice in fostering right relationships to promote common good, reverence in honoring the dignity of every person, excellence in expecting the best of ourselves and others, and integrity in being faithful to who we say we are.

Our Trinity Health Culture: knows, understands, incorporates and demonstrates our Trinity Health Mission, Values, Vision, Actions and Promise in behaviors, practices and decisions.

• Researches, collects and analyzes information. Identifies opportunities, develops solutions, and leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience. Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports and develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices and processes to ensure quality, confidentiality and safety are prioritized. Demonstrates knowledge of departmental processes and procedures and ability to readily acquire new knowledge.
• Researches and compiles information to support ad-hoc operational projects and initiatives. Synthesizes and analyzes data and provides detailed summaries including graphical data presentations illustrating trends and recommending practical options or solutions while considering the impact on business strategy and supporting leadership decision making.
• Maintains a working knowledge of applicable federal, state and local laws and regulations, Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies, procedures and guidelines to ensure adherence in a manner that reflects honest, ethical and professional behavior and safe work practices.

• High school diploma or equivalent.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
• Minimum one (1) year customer service experience. Patient Access experience preferred.

• Medical terminology required and knowledge of diagnostic and procedural coding.
• Insurance verification with the ability to explain benefits, secure necessary authorizations.

Pay Range: $. Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound and/or smell. Occasional exposure to fumes, odors, dusts, mists and gases, biohazards/hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional exposure to noise, infectious waste, diseases and conditions. Occasional exposure to interruptions, shifting priorities and stressful situations. Frequent ability to follow tasks through to completion, understand and relate to complex ideas/concepts, remember multiple tasks and regimens over long periods of time and work on concurrent tasks/projects.

Continuous ability to read small print, hear sounds and voice/speech patterns, give/receive instructions and other verbal communications with some background noise. Continuous manual dexterity activities and/or…