Patient Access Rep- Shared Patient Access- St. Mary Mercy Livonia

Company: Trinity Health
Location: Livonia
Posted on: March 19, 2023

Job Description:

**Employment Type:** Full time **Shift:** Day Shift **Description:** The Patient Access Representative greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. When assigned to work the reception desk, the position incumbent greets patients, family members and visitors in an appropriate and courteous manner, determining their need for assistance including directions, escort or transport. Utilizes judgment in the initial screening of the patient. May adjust the sequence of registration/transportation based upon departmental guidelines and/or personal judgment when the health of the patient is in question. Determines the type of service the patient is to receive by reviewing physician orders, the alphabetical patient schedule and/or by questioning the patient. Refers the patient to the appropriate scheduling and/or ancillary department for follow-up and action if an outpatient test must be scheduled. Will assign other staff/volunteers to patients to ensure that registrations/transportation functions are performed in a timely manner in order to avoid patient waiting periods. May provide wheelchair assistance for those who require it or obtain immediate clinical support. Escorts or transports patients and their belongings to their designated areas--ancillary departments, outpatient areas and nursing units, as warranted. Assists in the distribution of registration forms, ID bracelets, patient ID plates and other items. Performs activities that relate to registration in a variety of settings/locations and for multiple patient types (Inpatient Admissions, Outpatient Observation and Bedded Outpatients, Diagnostic Outpatients, Ambulatory Surgery, Emergency Department Registrations, Series accounts, Lab Specimens, etc.), dissemination of patient information. Will be cross-trained to perform registration/intake functions for the above noted patient types. Responsible for validating/obtaining and entering demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family member and/or guarantor. Must obtain information in a variety of situations and in a professional, accurate, efficient, and courteous manner to ensure good patient relations and a smooth billing process. Informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of check-in. Provides financial education, referring the patient to financial counseling, as required. In the collection of funds, documents payments/actions in the patient accounting system and provides the patient with a payment receipt. Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Contacts scheduling and/or ancillary department staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s). Obtains signed physician orders for all tests and procedures from physicians/offices for testing and procedures. Scans orders and other documentation (ID cards, Insurance cards, etc.) into the patient accounting system. May perform pre-registration functions on select patients by obtaining and entering information gained through patient contacts. During pre-registration calls, provides information regarding directions, parking, transportation service, overnight accommodations, etc. Provides information, directions, transportation, and assistance to patients, family members and visitors, ensuring timely, customer-centric service delivery in an effective and efficient manner. Communicates with various ancillary departments to ensure smooth patient flow and high data integrity. Prepares special reports as directed by the Manager to document utilization of the Patient Access department's services and patient flow (e.g., patient waiting time study, etc.). May serve as relief support, if the work schedule or work-load demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross- training in various functions is expected to assist in the smooth delivery of departmental services. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. **Our Commitment to Diversity and Inclusion** Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 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. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 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. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran

Keywords: Trinity Health, Livonia , Patient Access Rep- Shared Patient Access- St. Mary Mercy Livonia, Other , Livonia, Michigan