Employment Type:

　　Full time

　　Shift:

　　Night Shift

　　Description:

　　Shift: 40 hours per week, Monday- Friday 10:00 p.m.- 6:30 a.m. Some weekends may be required.

　　Under the guidance of the manager, the Patient Access Specialist Lead position is expected to perform a higher level of generally more complex job specific responsibilities. They greet patients and family members in a professional and courteous manner. They obtain, and verify demographic, clinical, financial, and insurance information during the registration process accepts point of service payments or provides guidance for payment options and clear the patient for service delivery. They act as the primary point of contact between the Patient Access Representatives and the Pt. Access Management Team.

　　Job responsibilities:

　　Verifies patient identification, demographic information, and insurance coverage.

　　Accepts point of service payments. Enters patient information accurately into appropriate hospital information system(s).

　　Performs-registration, insurance verification activities in a variety of settings and for multiple patient types.

　　Communicates frequently with patients/family members/guarantors, and physicians or their office staff in the deployment of key activities.

　　Interviews patients to collect data, initiates electronic medical records, validates, and enters data related to procedures, tests, and diagnoses.

　　Determines need for appropriate service authorizations and admission notifications and contacts physicians and Case Management/Utilization Review personnel, as needed.

　　Obtains and verifies the accuracy and completeness of physician orders for admissions, tests and procedures.

　　Accepts medical authorization or referral forms, if appropriate.

　　Functions as the point of contact in identifying complex systemic issues and either resolving or escalating to management for resolution.

　　Provides subject matter expert knowledge concerning various insurance requirements and billing guidelines.

　　Understands patient access data elements and impacts on insurance claim edits.

　　Knows where information is verified and corrected if needed to produce an edit free claim.

　　Refers patients with questions regarding financial liability to appropriate resource(s).

　　Processes key documents to facilitate obtaining insurance information.

　　Cross trains in various functions to assist in the timely delivery of department services. Performs routine duties relating to patient placement, reservation duties, which includes responsibility for bed assignments, transfers, and providing functional guidance as necessary.

　　Oversees the training and education of Patient Access colleagues upon hire and ongoing as new systems and processes are created.

　　Provides routine function-specific training, to include development or dissemination of job aids, as part of new staff orientation and continuing education.

　　Requirements:

　　High School diploma; Associate's degree OR equivalent training acquired via work experience or education preferred.

　　3-5 years of previous job-related experience; 6-10 years preferred.

　　Past work experience within a hospital or clinic environment preferred.

　　At Loyola, we know you’re more than your job. We see you and all of your potential. That’s why we invest in our people. Clinical advancement programs, flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family.

　　Benefits from Day One

　　Daily Pay

　　Competitive Shift Differentials including charge and preceptor roles

　　Career Development

　　Tuition Reimbursement

　　On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)

　　Educational Stipend

　　Certification reimbursement (up to 1 certification)

　　Referral Rewards

　　Weekender program

　　Self-Scheduling

　　Nurse Residency program for new grads (Transition to Practice)

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by 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