Patient Access Specialist - Part Time, Mid-Shift - Emergency Dept.
Company: Trinity Health
Location: Ann Arbor
Posted on: March 16, 2023
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Job Description:
Employment Type:
Part time
Shift:
Evening Shift
Description:
This position is for registration within the Emergency Department.
Position is for mid-shift (11a-730p), rotating weekends and
holidays.
An Opportunity to Join our Remarkable CarePatient Access
Specialistawaits YOU!!!!
St. Joseph Mercy Health System (SJMHS) is one of the nation's top
healthcare service providers, spanning five counties in
Southeastern Michigan. SJMHS represents more than 2,700 physicians
and 14,000 nurses and staff, and includes 5 Hospitals, 5 Outpatient
Health Centers, 8 Urgent Care Facilities and over 25 Specialty
Centers. Saint Joseph Mercy Health System is part of Trinity
Health, one of the largest multi-institutional Catholic health care
delivery systems in the nation, serving communities in 21 states
with 86 hospitals, 128 continuing care facilities and home health
and hospice programs.
General Summary
Responsible for the complete and accurate collection of patient
demographic and financial information for the purpose of
establishing the patient and service specific record for claims
processing and maintenance of an accurate electronic medical
record. Registers and checks-in patients and determines preliminary
patient and insurance liability. Performs routine account analysis
and problem solving. Resolves patient account issues. Initiates
billing and rebilling of accounts as appropriate. Under limited
supervision; determines need for and obtains authorization for
treatment /procedures and assignment of benefits required. Provides
information to patients concerning regulatory requirements. At
point of service, provides estimated costs and patient
responsibility, facilitating collection of co-pay, deductible and
private pay balances.
* Obtains, verifies and enters patient identification, demographic
information, and insurance coverage into hospital information
system(s), to ensure accurate and timely submission of claims.
* Determines visit-specific co-payments and collects out-of-pocket
liabilities.
* Assists patients with questions regarding financial liability or
refer to appropriate resource(s).
* Inform patients on cost of treatment, insurance benefits,
resources for payment and financial.
* Obtains medical authorization or referral forms, if appropriate.
Audit authorizations for accuracy and determine if delay/deny
policy needs to be invoked.
* Utilizing key reports and tools to facilitate obtaining accurate
insurance information.
* Educates patients/families on the use of registration kiosks or
online systems.
* Identifies non-routine complex issues and escalates to Patient
Access Lead for resolution.
* Assists in the training and education of colleagues upon hire and
ongoing as new systems and processes are created.
* Maintains compliance with HIPAA and other regulatory requirements
throughout all activities. Protects the safety of patient
information by verifying patient identity to preserve the integrity
of the patient record and ensures all records are complete,
accurate, and unique to one patient.
* Is proficient at the use of automated tools and makes appropriate
decisions related to the relationship of the action required and
the tool used. Performs pre-registration and pre-admits.
* Communicates frequently with patients/family members/guarantors,
and physicians
Performs other duties as assigned.
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education:
High school diploma or an equivalent combination of education and
experience. Associate degree in
Accounting or Business Administration highly desired.
Experience:
Minimum of one year experience in a customer service role with
financial responsibilities is required.
Experience in health care, insurance, or managed care industries is
highly preferred. Experience performing
medical claims processing, financial counseling and clearance, or
accounting is also highly preferred.
Certification/Licensure:
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.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000
physicians and clinicians across 25 states. Because we serve
diverse populations, our colleagues are trained to recognize the
cultural beliefs, values, traditions, language preferences, and
health practices of the communities that we serve and to apply that
knowledge to produce positive health outcomes. We also recognize
that each of us has a different way of thinking and perceiving our
world and that these differences often lead to innovative
solutions.
Our dedication to diversity includes a unified workforce (through
training and education, recruitment, retention, and development),
commitment and accountability, communication, community
partnerships, and supplier diversity.
Keywords: Trinity Health, Ann Arbor , Patient Access Specialist - Part Time, Mid-Shift - Emergency Dept., Other , Ann Arbor, Michigan
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