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Patient Access Representative
2 months ago
Full timeShift:
Day Shift
Description:
Trinity Health System, one of the nation's top health care services providers, spanning five counties in Southeastern Michigan. We represent more than 2,700 physicians and 14,000 nurses and staff, and includes 5 Hospitals, 6 Outpatient Health Centers, 6 Urgent Care Facilities and over 25 Specialty Centers.
Employees of Trinity Health System enjoy...
oCompetitive compensation
oFull benefits package including Medical, Dental, Vision, PTO, Life Insurance and Disability
oRetirement savings plan with employer contribution
oOpportunity for growth and advancement throughout SJMHS and Trinity Health
oFree, on-campus parking
Visit www.stjoeshealth.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Joseph Mercy Health System.
Job Description
Are you looking for a place to Be Remarkable? If you are looking for mission driven organization where you opinion matters and are viewed as an integral part of the care team, then Trinity Health may be for you. Please check out our current needs and see where you can Be Remarkable too.
General Summary
Under general supervision, the Patient Access Representative is 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.
Patient Access Representative Essential Duties and Responsibilities
- Interviews patients and physician office staff to obtain information and appropriately schedule patients for future and same day appointments for a wide scope of services including but not limited to advanced imaging, surgical services, sleep studies, respiratory services, cardiology services, vascular services, diabetes education and nutricare services and other services as required using Cerner Enterprise and Surginet Scheduling applications.
- Interviews patients and gathers information to assure accurate and timely scheduling, registration, insurance verification and claims submission.
- Interprets information collected to determine and create comprehensive patient and visit specific medical and billing records.
- Ensures accuracy and completeness of physician's orders to support scheduled services, including for surgical cases procedure descriptions, sides and spelling.
- Determines need for authorization for treatment/procedures and coordination of benefits as required.
- Utilizes multiple system applications simultaneously to complete the scheduling, order management, pre-registration and insurance verification processes including but not limited to Cerner Scheduling, Healthquest Patient Management and Patient Accounting, Powerchart, Freedom Imaging, Pathways Compliance Advisor, Emdeon Real Time Eligibility, Excel (was/is lists - order translation documents), Avaya CMS, and Intuit web portal.
- Requires high school diploma or equivalent and 1-2 years post high school education and/or training or the equivalent.
- Minimum of six months experience as a Patient Access
- Certified Healthcare Access Associate (CHAA through NAHAM)
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.
