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Patient Access Specialist 1

2 months ago

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

We are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at Trinity Health. As a Patient Access Specialist, you will play a critical role in ensuring the accurate and timely collection of patient demographic and financial information, as well as verifying insurance coverage and benefits.

Key Responsibilities
  • Obtain and verify patient identification, demographic information, and insurance coverage to ensure accurate and timely submission of claims.
  • Determine visit-specific co-payments and collect out-of-pocket liabilities from patients.
  • Assist patients with questions regarding financial liability or refer to appropriate resources.
  • Inform patients on cost of treatment, insurance benefits, resources for payment, and financial assistance.
  • Secure and document payment arrangements.
  • Obtain medical authorization or referral forms, if necessary.
  • 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.
  • Protect the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensure all records are complete, accurate, and unique to one patient.
Requirements
  • High school diploma or equivalent combination of education and experience.
  • Minimum of one year experience in a customer service role with financial responsibilities.
  • 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.
  • 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.
Preferred Skills and Abilities
  • Experience with the core offerings of the Microsoft suite (Word, PowerPoint, Excel).
  • Strong communication skills both verbal and written.
  • Strong critical thinking, interpersonal, and problem-solving skills.
  • Strong data entry and organizational skills.
  • Able to work independently and have good time management skills.
  • High level of initiative.
  • Able to work concurrently on a variety of tasks/projects in a fast-paced environment that is sometimes stressful with individuals that have diverse personalities and work styles.
  • Able to comprehend and retain information and apply to work procedures to achieve appropriate service delivery.
About Trinity Health

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. We are committed to 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.

We are an Equal Opportunity Employer and welcome applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees.