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Full-time, Per diem
high school, professional certificate
Posted 5d ago
~40 hrs/week
Responsibilities
The Patient Access Representative performs inpatient and outpatient registration, insurance verification, and collects patient financial liability payments. They also provide general information to hospital users and ensure compliance with medical necessity and payer requirements.
Requirements
Candidates must have a high school diploma or equivalent and at least one year of customer service experience. HFMA CRCR or NAHAM CHAA certification is required within one year of hire, and knowledge of medical terminology and coding is necessary.
Full job description
Employment Type:
Full time
Shift:
Day Shift
Description:
Purpose
This position is a part time; PRN with open availability which includes through the week as well as weekends.
There are no benefits that is aligned with this position.
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.
Note: “patients” refers to patients, clients, residents, participants, customers, members
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.
Functional Role (not inclusive of titles or advancement career progression)
PAR I
Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.
PAR II
Performs PAR I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. Ability to explain insurance benefits.
Patient Access Account Specialist
Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.
Minimum Qualifications
High school diploma or equivalent.
HFMA CRCR or NAHAM CHAA 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 authorization
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.
St. Peter’s serves in the spirit of the gospel as a compassionate and transforming healing presence in our communities.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2011
Headquarters
Albany, NY
LinkedIn followers
17,337
With more than 11,000 employees in more than 185 locations, St. Peter’s Health Partners is the Capital Region’s largest and most comprehensive not-for-profit integrated health care network, which provides high-quality, compassionate, and sophisticated care to thousands of people every day. St. Peter’s Health Partners is a member of Trinity Health. For more information, please visit www.SPHP.com.
Offices: 315 South Manning Blvd, Albany, NY 12208, US