Patient Access Representative-Financial Clearance

Employment Type:

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Full time

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Shift:

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Day Shift

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Description:

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10a-8:30p Friday-Monday. Remote opportunity

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Mission Statement:

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·We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

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Vision:

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·To be world-renowned for passionate patient care and outstanding clinical outcomes.

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Core Values:

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·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

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POSITION SUMMARY:

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The Patient Access Representative's (PAR) directly impacts the revenue cycle by accurately processing data relating to insurance and

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demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The

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PAR may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide.

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The PAR meets established quality and productivity standards and interacts professionally with MD's, MD office staff, employees,

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outside vendors, patients, and patient representatives.

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EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:

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This position requires two years of medical office or customer service experience. Participates in orientation, patient access training

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program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

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Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of

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expertise.

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SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:

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Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and

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human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology

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preferred.

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WORK ENVIRONMENT AND HAZARDS: Clinical Setting. Exposure Class I or II; service specific.

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PHYSICAL DEMANDS: Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands,

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fingers, and wrists.

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WORK CONTACT GROUP: All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.

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SUPERVISED BY: Patient Access Coordinator

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SUPERVISES: Not applicable.

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CAREER PATH: Level 2, Level 3 Patient Access Representative; Coordinator, Manager

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Original: January, 2011

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Revised: August 2011

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Revised: April 2012

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General Performance Criteria: Patient Access Representative

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Expectations

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Criteria Exceeds Meet Below

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Acquires, enters and updates patient registration information into Eclipsys system

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and verifies accuracy of data. Provides information related to, but not limited to:

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billing, compliance, patient rights and HIPAA.

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Verifies patient insurance coverage and obtains authorizations related to the

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patient's stay. Refers non-insured patients to financial counselor.

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Requests and collects co-pays; deposits; issues receipts at time of payment.

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Communicates with medical/clinical personnel regarding patient access, interfacility

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transfers, discharge processing, reimbursement issues, authorization

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requirements, surgical and diagnostic orders.

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Accurately indexes patient information to HPR; interacts with IS, HIM, ASR's, to

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assure optimal information flow; resolve inaccuracies and discrepancies.

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Intakes MD request for patient admission; co-ordinates assignment of patients to

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beds; maintains accurate bed-board status; compiles daily census.

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Performs other clerical tasks to support supervisor (i.e. QA related audits).

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Participates in the development of work schedule to accommodate patient flow and

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meet departmental needs.

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Professional and Staff Development

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Supports/participates with the orientation process for new team members.

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Participates in huddles, line ups, and employee meetings.

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Participates in voluntary and required in-services, educational activities and

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performance improvement activities.

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Demonstrates appropriate conflict resolution skills with patients and colleagues.

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Displays commitment of the Hospital Mission

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Facilitates patient flow by directing patients to correct locations. Maintains good

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relations with all customers and respects patient' rights to privacy.

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Demonstrates excellent communication skills, team concepts and delivers

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exceptional customer service to our patients, visitors and colleagues.

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Adheres to hospital confidentiality statement.

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Original

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Pay Range: $17.85-$25.90

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Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

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Our Commitment

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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.

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Our Commitment to Diversity and Inclusion

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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.

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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.

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EOE including disability/veteran