Patient Access Coordinator
1 week ago
As a Patient Access Specialist at Trinity Health, you will play a vital role in ensuring the smooth registration and billing process for our patients. Your primary responsibility will be to collect and verify patient demographic and financial information, as well as to determine insurance coverage and liability. You will work closely with patients, families, and healthcare providers to provide accurate and timely information, and to resolve any issues that may arise during the registration process.
Key Responsibilities
- Collect and verify patient demographic and financial information, including insurance coverage and liability.
- Determine visit-specific co-payments and collect out-of-pocket liabilities.
- Assist patients with questions regarding financial liability or refer to appropriate resource(s).
- Inform patients on cost of treatment, insurance benefits, resources for payment, and financial.
- Obtain medical authorization or referral forms, if appropriate.
- Audit authorizations for accuracy and determine if delay/deny policy needs to be invoked.
- Utilize key reports and tools to facilitate obtaining accurate insurance information.
- Educate patients/families on the use of registration kiosks or online systems.
- Identify non-routine complex issues and escalate to Patient Access Lead for resolution.
- Assist in the training and education of colleagues upon hire and ongoing as new systems and processes are created.
- Maintain compliance with HIPAA and other regulatory requirements throughout all activities.
Requirements
Education: High school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired.
Experience: Minimum of one year experience in a customer service role with financial responsibilities is required. Experience in healthcare, insurance, or managed care industries is highly preferred. Experience performing medical claims processing, financial counseling, and clearance, or accounting is also highly preferred.
Certification/Licensure: Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional (CRCSP) through the American Association of Healthcare Administrative Management (AAHAM) and/or Certified Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM) is preferred.
Why Trinity Health?
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. We are committed to providing high-quality, patient-centered care to our communities. As a Patient Access Specialist, you will have the opportunity to work with a talented team of healthcare professionals and to make a meaningful difference in the lives of our patients.
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