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Patient Access Specialist
2 months ago
We are seeking a highly skilled Patient Access Specialist to join our team at Trinity Health. As a key member of our healthcare team, you will be responsible for ensuring the accurate and timely collection of patient demographic and financial information.
Key Responsibilities- Register and check-in patients, determining preliminary patient and insurance liability
- Perform routine account analysis and problem-solving, resolving patient account issues
- Initiate billing and rebilling of accounts as necessary
- Obtain and verify patient identification, demographic information, and insurance coverage
- Determine visit-specific co-payments and collect out-of-pocket liabilities
- Assist patients with questions regarding financial liability or refer to appropriate resources
- Inform patients on cost of treatment, insurance benefits, and resources for payment
- Obtain medical authorization or referral forms, as needed
- 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
- 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
We offer a competitive salary and shift differentials, a rich benefits package, and opportunities for growth and advancement throughout Trinity Health in 21 different states. Visit https://www.trinity-health.org to learn more about the benefits, culture, and career development opportunities available to you at Saint Joseph Mercy Health System.
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.
