Patient Access Representative- PCC

Employment Type

Full time

Day Shift

8a-4:30p, Monday - Friday
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.

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.

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

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.

Our Trinity Health Culture:
Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

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.

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.

Research & compile 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.

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

• Medical terminology required & knowledge of diagnostic & procedural coding
• Insurance verification with the ability to explain benefits, secure necessary authorizations

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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.

Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & or smell. Occasional exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.). Occasional exposure to or subject to noise, infectious waste, diseases & conditions. Occasional exposure to interruptions, shifting priorities & stressful situations. Frequent ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember multiple tasks & regimens over long periods of time & work on concurrent tasks / projects.

Continuous ability to read small print, hear sounds & voice / speech patterns, give /…