Representative I, Patient Access-Full tme-Days-Clinton
About The Position
Join the MercyOne Family! We are looking to hire a Representative I. As a Representative I at MercyOne, you will research, collect & analyze 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. 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. 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.
Requirements
- High school diploma or equivalent.
- HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
Nice To Haves
- Medical terminology required & knowledge of diagnostic & procedural coding
- Insurance verification with the ability to explain benefits, secure necessary authorizations
Responsibilities
- Researche, collect & analyze 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.
- 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.
- 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.
Benefits
- Competitive compensation
- Full benefits package
- Opportunity for growth throughout the system
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
