Regional Hospital Access Rep . Registry . Flexible
Loyola

Employment Type:
Part timeShift:
Rotating Shift

Description:
This position provides quality patient registration/admission services for an extremely hectic 24/7 department in the Admitting/Registration office. The department serves admissions into the hospital and hospital based, ancillary testing, Same Day Surgery/Preadmission testing, Emergency Department and Heart & Vascular testing accounting for over 52,000 visits, 43,000 walk-ins and over 23,000 discharges. This individual greets patients, completes the registration in one of four areas of the department. The representative also responds to various inquiries from physicians, nurses, internal staff, patients and visitors. The Hospital Access Representative must have knowledge of insurance coverage and the patient access regulations on our contracted plans. This individual is responsible for securing complete and accurate demographic and coverage information and is the source for all hospital and physician billing. The Hospital Access Representative must display service oriented, compassionate and professional behavior. This individual must adhere to HIPPA compliance and ensure that all patient information is securely obtained and protected. The Hospital Access Representative is an entry level position and upon mastering one of the above areas of Registration is cross trained to another and upgrade to a Registration Specialist.
Understands the various insurances and obtain referral forms and/or contacts HMO/PCP as appropriate to ensure that all pre-certification requirements are met for outpatient and emergency department visits as well as for admissions. This function includes performing all on line admission notifications to eliminate notification denials.

Demonstrates knowledge and understanding of the hospital's mission and values, regulatory compliance requirements, payor requirements, HIPPA Privacy, the revenue cycle process and hospital policies through conduct and behavior.

Appropriately educates and informs patients of their insurance coverage, of hospital policies that govern the revenue cycle and the amount owed by the patient. Generates receipts for other point of service payments and maintains necessary records of transactions.

Transcribes accurate bed reservation information phoned into the department from physicians or their designate, including the admitting diagnosis, scheduled procedure and type of bed needed, and the Admitting/Attending physician. Understands the death certificate and release of body process to accurately assist physicians in completing said certificates.

Attends monthly inservices for ongoing governmental, insurance and departmental changes.

Using AIDET skills, representative monitors patient waiting areas to ensure all patients are registered and provided updates on next steps and/or delays. Ensures that area is clean and organized. Answers patient's questions in a professional and courteous manner. Uses service excellence toolbox for service recovery. Answers calls within 3 rings. Handles all calls coming into any location in the department and if unfamiliar with question, will seek out the answer for the caller.

Collects and analyzes demographic, insurance, guarantor, reason for visit, and other pertinent workflow specific data from patients/representatives to assure registration accuracy is maintained for all outpatient visits, Emergency Department visits and/or admissions. Performs registration functions consistent with Federal, State, and Local regulatory agency and insurance payor requirements, organization policies and procedures; including HIPPA privacy, security regulations and Joint Commission. Consistently maintains registration accuracy rate at or above department standard in performance of registration duties.

Completes work queus in all areas of registration for high dollar exams and surgeries, again ensuring all demographic and insurance information is accurate for the authorization by the precept area.

Understands the ED workflow arrival and update, the P&P for the ED in regards to DCFS approval, the use of institutional guarantors, collection of co-pays, precertification, etc. Representative in course of registrations uses a WOW for registration and does push patients in wheelchairs from waiting room to treatment area.

Shift: Flexible

Weekend and Holiday Coverage

Registration, insurance verification and POS collection experience preferred

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.