Representative I, Patient Access-Full time-Days

Trinity Health•Davenport, IA

6d•Onsite

About The Position

Provides patient-focused customer service. Performs outpatient and/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. This role involves researching, collecting & analyzing information, identifying opportunities, developing solutions, & leading through resolution. It also includes collaborating on performance improvement activities as indicated by outcomes in program efficiency & patient experience, and is responsible for the distribution of analytical reports. The position utilizes multiple system applications to perform analysis, create reports & develop educational materials, incorporating 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.

Requirements

Minimum one (1) year customer service experience.
Patient Access experience preferred.
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.

Nice To Haves

Patient Access experience

Responsibilities

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.
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.
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.
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.