Representative I, Patient Access-Full time-Days

Trinity Health • Davenport, IA

2d • Onsite

About The Position

Provides patient-focused customer service. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families, and physician offices. This is an entry-level position. Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking, and problem-solving skills to support colleagues and leadership in achieving the organization’s strategic objectives. Serves as a peer influencer and may direct a project or project team by applying industry experience and specialized knowledge. Responsible for analyzing, processing, and editing for correctness based on payer guidelines. Resolves items and ensures claims are billed accurately. Processes payments timely.

Requirements

• Minimum one (1) year customer service experience.
• Minimum of two plus (2+) years hospital registration or insurance verification experience.

Nice To Haves

• Patient Access experience preferred.

Responsibilities

• Performs outpatient and/or inpatient registration and insurance verification functions.
• Collects patient financial liability payments.
• Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals.
• Provides general information to hospital users, patients, families, and physician offices.
• Researches, collects, and analyzes information.
• Identifies opportunities, develops solutions, and leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience.
• Responsible for distribution of analytical reports.
• Utilizes multiple system applications to perform analysis, create reports, and develop educational materials.
• Incorporates basic knowledge of Trinity Health policies, practices, and processes to ensure quality, confidentiality, and safety are prioritized.
• Demonstrates knowledge of departmental processes and procedures and ability to readily acquire new knowledge.
• Researches and compiles information to support ad-hoc operational projects and initiatives.
• Synthesizes and analyzes data and provides detailed summaries including graphical data presentations illustrating trends and recommending practical options or solutions while considering the impact on business strategy and supporting leadership decision making.
• Leverages program and operational data and measurements to define and demonstrate progress, ROI, and impacts.
• Maintains a working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity and Compliance Program and Code of Conduct, as well as other policies, procedures, and guidelines in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior and safe work practices.
• Analyzes, processes, and edits for correctness based on payer guidelines.
• Resolves items and ensures claims are billed accurately.
• Processes payments timely.

Benefits

• Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed