• Patient Service Rep

    Trinity Health (Ann Arbor, MI)


    Employment Type:

    Full time

    Shift:

    Evening Shift

    Description:

    Purpose

    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.

     

    Note: “patients” refers to patients, clients, residents, participants, customers, members

    Essential Functions

    Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission,

     

    Values, Vision, Actions & Promise in behaviors, practices & decisions.

    Work Focus:

    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.

    Process Focus: 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.

    Data Management & Analysis:

    Research & compiles 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.

     

    Maintains a Working Knowledge 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.

     

    Functional Role (not inclusive of titles or advancement career progression)

    PAR I

    Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

    PAR II

    Performs PAR I role & is cross trained & performs activities in Pre-Service, Emergency Department & / or Bed

    Desk. Additional minimum qualifications: Minimum of two (2) years hospital registration or insurance verification

     

    experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. Ability

     

    to explain insurance benefits.

     

    Trinity Health

     

    Coordinator, PA & PreService

     

    Patient Access Account Specialist

     

    Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience.

     

    Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data,

    research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving

    organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying

     

    industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness

     

    based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

    Minimum Qualifications

    High school diploma or equivalent.

     

    HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

     

    Additional Qualifications (nice to have)

     

    Medical terminology required & knowledge of diagnostic & procedural coding

     

    Insurance verification with the ability to explain benefits, secure necessary authorizations.

     

    Our Commitment

     

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.

    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