Patient Access Representative

Employment Type:

Full time

Shift:

Description:

• Patient Financial Specialist I;
  Ensures the collection of accurate and complete registration/admission information and completion of required forms for all patients. Ensures collections of patient deductibles, co-pays, coinsurance and deposits. Gathers and evaluates confidential patient financial data for purposes of determining patient qualification for financial assistance and/or patient financial responsibility. Collects payments and facilitates resolution of billing questions. Acts as an information resource to other departments and physician offices.
  
  Understands relation between diagnosis and procedure using CPT and ICD-9 coding to ensure compliance with third party regulations. Understands Medicare, Medicaid and other third party information requirements and adheres to all third party regulations. Abides by all pertinent legislation regarding use/disclosure of medical and financial information, debt collection and credit reporting. Establishes payment arrangements for patients and evaluates past account history.
  
  Abides by the department Service vision.

• Specialty:
  Emergency Room

• Location:
  
  6001 E Broad St Columbus, OH 43213

• Casual - as needed

• Researches, collects & analyses 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.

• High school diploma or equivalent.

• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

• Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

Additional Qualifications (nice to have)

• Medical terminology required & knowledge of diagnostic & procedural coding

• Insurance verification with the ability to explain benefits, secure necessary authorizations

• Mount Carmel Health System recognized by Forbes in 2025 as one of America’s Best State Employers.
• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement starting on day one.
• RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.
• Relocation assistance (geographic and position restrictions apply).
• Employee Referral Rewards program.
• Mount Carmel offers Daily Pay…