What are the responsibilities and job description for the Patient Service Rep position at Trinity Health MI?
Employment Type:
Full time
Shift:
Night 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
Physical & Mental Requirements & Working Conditions
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or
smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns,
chemicals, radiation, sharp objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember
multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal
communications (in-person & / or over the phone / computer / device / equipment assigned) with some
background noise. Continuous
Perform manual dexterity activities & / or grasping / handling. Frequent
Ability to climb, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Continuous
Sit with the ability to vary / adjust physical position or activity. Continuous
Maintain a safe working environment & use available personal protective equipment (PPE). Frequent
Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous
Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.
Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Frequent
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external
environmental conditions. Occasional
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating
patients). Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.
Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Frequent
Coordinator, PA & PreService
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Work outdoors with variable external environmental conditions. Occasional
KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% -
100%)
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.
Full time
Shift:
Night 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
Physical & Mental Requirements & Working Conditions
Direct Healthcare Services / Indirect Healthcare / Support Services:
Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or
smell. Occasional
Exposure to fumes, odors, dusts, mists & gases, biohazards / hazards (mechanical, electrical, burns,
chemicals, radiation, sharp objects, etc.). Occasional
Exposure to or subject to noise, infectious waste, diseases & conditions. Occasional
Exposure to interruptions, shifting priorities & stressful situations. Frequent
Ability to follow tasks through to completion, understand & relate to complex ideas / concepts, remember
multiple tasks & regimens over long periods of time & work on concurrent tasks / projects. Continuous
Ability to read small print, hear sounds & voice / speech patterns, give / receive instructions & other verbal
communications (in-person & / or over the phone / computer / device / equipment assigned) with some
background noise. Continuous
Perform manual dexterity activities & / or grasping / handling. Frequent
Ability to climb, kneel, crouch & / or operate foot controls. Occasional
Use a computer / other technology. Continuous
Sit with the ability to vary / adjust physical position or activity. Continuous
Maintain a safe working environment & use available personal protective equipment (PPE). Frequent
Comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines. Continuous
Ability to provide assistance in the event of an emergency. Occasional
Direct Healthcare Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.
Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Use upper & lower extremities, engage in bending / stooping / reaching & pushing / pulling. Frequent
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external
environmental conditions. Occasional
Perform work that involves physical efforts (e.g., transporting, moving, positioning & / or ambulating
patients). Occasional
Indirect Healthcare / Support Services:
Perform activities that require standing / walking with the ability to vary / adjust physical position or activity.
Occasional
Lift a maximum of 30 pounds unassisted. Occasional
Experience of long periods of walking / standing / stooping / bending / pulling & / or pushing. Occasional
Encounter a clinical / patient facing / hands on interactive work environment. Frequent
Coordinator, PA & PreService
Work indoors (subject to travel requirements) under temperature-controlled & well-lit conditions. Continuous
Work outdoors with variable external environmental conditions. Occasional
KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% -
100%)
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.