Patient Service Representative Radiology

5 days ago


Brighton, Michigan, United States Trinity Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Radiology Patient Service Representative to join our team at Trinity Health. As a key member of our patient access team, you will play a critical role in ensuring the smooth and efficient flow of patients through our radiology department.

Key Responsibilities
  • Interview patients and gather information to ensure accurate and timely claims submission
  • Interpret information collected to determine and create comprehensive visit-specific billing records
  • Determine need for and obtains authorization for treatment/procedures and assignment of benefits as required
  • Maintain competency by participating in on-site and external training opportunities
  • Utilize skills gained from training sessions to improve and enhance work processes and customer interactions
  • Provide information to patients concerning hospital policies and regulatory requirements utilizing effective interpersonal and guest-relations skills
  • Provide assistance to other Health System or physician offices staff regarding registration, insurance verification and authorization requirements and processes
  • Determine appropriate payment required at point of registration (deposits, co-pays, minimum charges and non-covered services)
  • Collect payment at time of registration or check-out
  • Based on planned services provides estimated costs and patient responsibility for both procedural and complex services
  • Documents communication with patients related to estimates within the patient accounting record
  • Verifies procedural and diagnosis codes submitted by service departments and physicians to assure accuracy for claims submission and adjudication of reimbursement
  • Verifies insurance eligibility with payors
  • Determines benefits and ensures authorization requirement are met
  • Interacts with ordering practitioner and patient to coordinate service and insurance requirements
  • Contacts patients to discuss eligibility and benefits and requirements specific to clinical services
  • Creates appropriate registration record
  • Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services
  • Facilitate cash collection as appropriate prior to and at the time of service, including copays, deductibles, and private pay responsibility
  • Obtains insurance authorization, patient liability acknowledgement, acknowledgement of non-covered services and advance beneficiary notices and consent forms
  • Explains the purpose of these forms to patients and responds to questions related to their intent
  • Completes as required; obtains signatures and approvals; verifies that information is complete and accurate
  • Is proficient at the use of automated tools and makes appropriate decisions related to the relationship of the action required and the tool used
Requirements
  • Requires high school diploma or equivalent
  • CHAA certification from National Associate Healthcare Access Management preferred
  • One or two years related experience
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.



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