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Lead Patient Access Representative Emergency

MI_SJMHS Trinity Health - Michigan
Pontiac, MI Full Time
POSTED ON 3/25/2025
AVAILABLE BEFORE 5/24/2025
Employment Type: Full time Shift: 12 Hour Evening Shift Description: Full Time Position 3- 12/hour shifts per week 11am-1130pm Some Holidays Every Other Weekends Minimum Education, Licensure / Certification and Experience Required. A. Education Associate degree in business, management, public relations or related field or equivalent work experience required. •B. Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups. Duties / Responsibilities: Provides direction and monitors work flow of patient access and various clerical activities in an assigned area or department(s), serving as a liaison between management and Patient Access Representatives.1According to policy and procedure, assists in training and continuing education of employees as necessary.2In conjunction with management acts as a resource person in resolution of difficult situations or problems.3Independently schedules procedures for all departments and any subsequent departments added to Pathways, utilizing individual departmental grids, resources and guidelines.4Registers future scheduled patients via telephone by entering the appropriate required information on-line. This will include, but is not limited to: demographics, clinical, and detailed insurance information in order to ensure accurate and complete billing statements.5Obtains pre-certification or authorization numbers if available from physician offices and/or patients.6Coordinates multiple hospital services such as surgical procedures, ancillary testing, etc., in proper sequence and according to the rules of the system, which may include managed care requirements and clinical standards.7Performs all duties and responsibilities of a Patient Access Representative.8Utilizes excellent customer service and telephone courtesy skills in all interactions with customers.9Utilizes and keeps a current working knowledge of all reference manuals in the department.10Maintains the confidentiality of patient records and information.11Attends meetings, participates in Continuous Quality Improvement.12May perform clerical tasks specific to supporting an assigned department(s) i.e., receptionist duties, charge capture, report processing and delivering, copying, filing, etc.13Performs other duties as assigned.14•Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy Oakland through performing behaviors consistent with the Trinity Health Values. Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behaviors. Supports and conducts one's self in a manner consistent with customer service expectations. In accordance with unit or departmental practice, determines that appropriate charges have been entered for the correct patient, encounter, date/time of service, with any required modifiers. Make corrections as needed per charge capture policy/practice. In accordance with unit or departmental practice, actively participates in on-going education and communication regarding revenue management. In accordance with unit or departmental practice, assists with tracking and monitoring of equipment assigned to the unit. Requests services for maintaining equipment as needed. In accordance with unit or departmental practice, proficient with the electronic health records for documentation, assessment, and care management, performing these activities concurrently with provision of care throughout the shift. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.

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