Accountability Objectives:
Responsible for performing the Patient Access process completing accurate registration and pre-registration process and insurance verification for eligibility scheduling for various departments procedures/appointments entering patient
data for services for departments participating in PHS (Pathways Healthcare Scheduling) coordinating multiple services in proper sequence and informing patient/doctors office as to preparations and insurance requirements for each
service. Collaborates with multiple departments to best utilize equipment and facilities while accommodating physician preference and patient needs. Displays a courteous professional manner proactively developing customer
relationships and giving high priority to customer satisfaction.
Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity payer pre-certifications & referrals. Provides general information to hospital users patients families & physician offices.
Essential Functions
Our Trinity Health Culture: Knows understands incorporates & demonstrates our Trinity Health Mission Values Vision Actions & Promise in behaviors practices & decisions.
Work Focus:
Researches collects & analyzes information. Identifies opportunities develops solutions & leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Responsible for distribution of analytical reports.
Process Focus: Utilizes multiple system applications to perform analysis create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies practices & processes to ensure quality confidentiality & safety are prioritized.
Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.
Data Management & Analysis:
Research & compiles information to support ad-hoc operational projects & initiatives.
Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Leverages program & operational data & measurements to define & demonstrate progress ROI & impacts.
Maintains a Working Knowledge of applicable federal state & local laws / regulations Trinity Health Integrity & Compliance Program & Code of Conduct as well as other policies procedures & guidelines in order to ensure adherence in a manner that reflects honest ethical & professional behavior & safe work practices.
Minimum Qualifications
High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA certifications required within one (1) year of hire.
Additional Qualifications (nice to have)
Medical terminology required & knowledge of diagnostic & procedural coding
Insurance verification with the ability to explain benefits secure necessary authorizations
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are 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 veteran status or any other status protected by federal state or local law.
Required Experience:
Unclear Seniority
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more