Hospital Access Rep
Employment Type : Full-Time
- This position provides quality patient registration/admission services for an extremely hectic 24/7 department in the Admitting/Registration office. The department serves admissions into the hospital and hospital based, ancillary testing, Same Day Surgery/Preadmission testing, Emergency Department and Heart & Vascular testing. The Hospital Access Representative must have knowledge of insurance coverage and the patient access regulations on our contracted plans. This individual is responsible for securing complete and accurate demographic and coverage information and is the source for all hospital and physician billing. The Hospital Access Representative must display service oriented, compassionate and professional behavior.
Understands the various insurances and obtain referral forms and/or contacts HMO/PCP as appropriate to ensure that all pre-certification requirements are met for outpatient and emergency department visits as well as for admissions. This function includes performing all on line admission notifications to eliminate notification denials.
- Appropriately educates and informs patients of their insurance coverage, of hospital policies that govern the revenue cycle and the amount owed by the patient. Generates receipts for other point of service payments and maintains necessary records of transactions.
- Collects and analyzes demographic, insurance, guarantor, reason for visit, and other pertinent workflow specific data from patients/representatives to assure registration accuracy is maintained for all outpatient visits, Emergency Department visits and/or admissions. Performs registration functions consistent with Federal, State, and Local regulatory agency and insurance payor requirements, organization policies and procedures; including HIPPA privacy, security regulations and Joint Commission. Consistently maintains registration accuracy rate at or above department standard in performance of registration duties.
- Completes workqueus in all areas of registration for high dollar exams and surgeries, again ensuring all demographic and insurance information is accurate for the authorization by the pre-cert area.
- Understands the ED workflow arrival and update, the P&P for the ED in regards to DCFS approval, the use of institutional guarantors, collection of co-pays, precertification, etc. Representative in course of registrations uses a WOW for registration and does push patients in wheelchairs from waiting room to treatment area.
Minimum Education:
Required: High School Diploma
Preferred: High School Diploma plus training acquired through work experience or education
Minimum Experience:
Preferred: 1-2 years of previous job-related experience
Computer Skills:
Required: Basic Keyboarding Skills
Preferred: EPIC, Microsoft Excel, Microsoft Outlook Microsoft Word- This position provides quality patient registration/admission services for an extremely hectic 24/7 department in the Admitting/Registration office. The department serves admissions into the hospital and hospital based, ancillary testing, Same Day Surgery/Preadmission testing, Emergency Department and Heart & Vascular testing. The Hospital Access Representative must have knowledge of insurance coverage and the patient access regulations on our contracted plans. This individual is responsible for securing complete and accurate demographic and coverage information and is the source for all hospital and physician billing. The Hospital Access Representative must display service oriented, compassionate and professional behavior.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 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.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.