Patient Access Representative - Trinity Health Corporation : Job Details

Interviews the patient / family for admission and outpatient registration by entering the appropriate required information on-line. Performs insurance eligibility verification by phone or on the Internet. Independently schedules procedures for all departments and any subsequent departments added to Pathways, utilizing individual departmental grids, resources and guidelines. Determines if authorization is required for the patient's service and secures authorization for treatment/procedures prior to service being rendered. Determines an understanding of hospital policies, prevailing regulatory and third-party requirements (MSP questionnaire, pre-certification process, consent forms, etc.)Recognizes and problem solves conflicts associated with time requests, resources, equipment or staff for each department. Coordinates 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 car...Patient Access, Representative, Patient, Staffing, Healthcare