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Patient Access Specialist
2 months ago
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 the registration and verification of patient information.
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, including co-payments, co-insurances, deductibles, deposits, and outstanding balances.
- Obtain medical authorization or referral forms, if necessary, and audit authorizations for accuracy.
- 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.
- 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.
- 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.
- 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.
- Knowledge of insurance and governmental programs, regulations, and billing processes (Medicare, Medicaid, Social Security Disability, Champus, and Supplemental Security Income Disability), managed care contracts, and coordination of benefits is highly desired.
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. 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.
