What are the responsibilities and job description for the Patient Access Specialist I position at Trinity Health Michigan?
Responsible for the complete and accurate collection of patient demographic and financial information for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and insurance liability. Performs routine account analysis and problem solving. Resolves patient account issues. Initiates billing and rebilling of accounts as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient responsibility, facilitating collection of co-pay, deductible and private pay balances.
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education:
High school diploma or an equivalent combination of education and experience. Associate degree in Accounting or Business Administration highly desired.
Experience:
2 years' experience in a customer service role with financial responsibilities is required.
Experience in health care, insurance, or managed care industries is highly preferred.
Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly preferred.
Proficient with Microsoft Suite required.
Working knowledge of medical terminology, anatomy and physiology, and medical record coding is preferred.
Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid, SSD, SSID), managed care contracts and coordination of benefits is highly desired.
Certification/Licensure:
Completion of certification and skills competencies such as the Certified Revenue Cycle Specialist Professional
(CRCSP) through the American Association of Healthcare Administrative Management (AAHAM) and/or Certified
Healthcare Access Associate (CHAA) through the National Association of Healthcare Access Management (NAHAM)
is preferred.
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.
