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SJSEMI_Lead Patient Access

Company: Trinity Health
Location: Pontiac
Posted on: January 16, 2022

Job Description:

Employment Type:Full timeShift:Day ShiftDescription: 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. Licensure / Certification Ability to pass the medical terminology test with a passing grade of 90% or proof of A or B grade in college course in medical terminology. Completion of Patient Management Registration Course and Pathways Healthcare Scheduling Course with at least an 85% grade on the final exams prior to receiving access codes. C Special Skill / Aptitudes 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. 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.

Keywords: Trinity Health, Bloomington , SJSEMI_Lead Patient Access, Other , Pontiac, Illinois

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