Patient Access Coordinator

1 month ago

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

We are seeking a highly skilled and detail-oriented Patient Access Representative to join our team at Trinity Health. As a Patient Access Representative, you will play a critical role in ensuring the smooth and efficient flow of patients through our healthcare system.

Key Responsibilities
  • Interview patients and physician office staff to obtain information and schedule patients for future and same-day radiology services using Epic application.
  • Interpret information collected to determine and create comprehensive patient and visit-specific medical and billing records.
  • Determine the need for authorization for treatment/procedures and coordination of benefits as required.
  • Provide information to patients concerning hospital policies and regulatory requirements utilizing exceptional interpersonal skills.
  • Obtain dates of previous services to determine eligibility for future services using Epic.
  • Use prior study physician recommendations from Epic to determine the appropriate next test to schedule.
  • Translate clinical information on physician orders to clinical order terminology to appropriately schedule patients for future services.
  • Schedule STAT appointments, block appointments, and obtain department approvals for complex procedures.
  • Process internet requests for scheduling services.
  • Ensure appropriate communication to patients requesting services.
  • Index incoming radiology physician orders using fax queue application (Onbase).
  • Provide assistance to other Health System or physician offices staff regarding registration information and procedures.
  • Determine the appropriate payment required at the point of registration (deposits and minimum charges for non-covered services).
  • Pre-register patients prior to services.
  • Verify insurance coverage using Epic/payor portals for selected services to facilitate cash collection.
  • Perform medical necessity screening for applicable services for Medicare patients.
  • Follow up with patients and ordering physicians appropriately to communicate responsibility related to services found to be not medically necessary.
  • Respond to problems and questions from Medical Records, Clinical Departments, or PA Teams.
Requirements
  • Requires high school diploma or equivalent.
  • 1-2 years post-high school education and/or training or the equivalent.
  • 1+ years' related experience.
  • Certified Healthcare Access Associate (CHAA) through NAHAM is preferred.
Skills and Abilities
  • Demonstrated computerized system application experience.
  • Critical thinking and problem-solving skills.
  • Analytical ability to effectively and efficiently resolve registration, scheduling, and insurance issues.
  • Demonstrated knowledge of the Revenue Cycle processes, components, and terminology.
  • Exceptional interpersonal communication skills to effectively communicate with patients, team members, clinical colleagues, medical staff, external agencies, and contacts.
  • Exceptional customer service skills and positive personality attributes.
  • Patient in dealing with ordinary, arduous, or emotional patients.
  • Use of telephones and call center technology.
  • Ability to type at 35-40 WPM.

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