Representative I, Patient Access-part time-Nights-Silvis

Trinity Health•Silvis, IL

2d•$16 - $24

About The Position

Provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. Collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. Provides general information to hospital users, patients, families, and physician offices. The role researches, collects, and analyzes information; identifies opportunities; develops solutions; and supports resolution. It collaborates on performance improvement activities, distributes analytical reports, and uses multiple system applications to perform analysis, create reports, and develop educational materials. The position applies knowledge of Trinity Health policies, practices, and processes to prioritize quality, confidentiality, and safety. The role also researches and compiles information for operational projects, analyzes data, and prepares detailed summaries and graphical presentations that illustrate trends and recommend practical options. It uses program and operational measurements to demonstrate progress, return on investment, and impact, supporting leadership decision-making. The colleague maintains knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines, and follows honest, ethical, professional, and safe work practices. The posting also describes Patient Access Account Specialist duties as an additional qualification pathway: using specialized knowledge, data, research, analysis, critical thinking, and problem-solving to support organizational objectives; potentially directing projects or project teams; analyzing, processing, and editing items for correctness under payer guidelines; resolving items to ensure accurate claims; and processing payments timely.

Requirements

Minimum one year of customer service experience for the entry-level PAR I position.
For the Patient Access Account Specialist pathway, at least two years of hospital registration or insurance verification experience.
Knowledge of departmental processes and procedures, with the ability to acquire new knowledge.
Ability to research, compile, analyze, and summarize information and data.
Critical-thinking and problem-solving skills for the Patient Access Account Specialist pathway.
Maintain knowledge of applicable laws, regulations, compliance policies, procedures, and guidelines.

Nice To Haves

Patient Access experience is preferred.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments and ensure financial requirements are met, including Medicare medical necessity, payer pre-certifications, and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Research, collect, and analyze information; identify opportunities and develop solutions.
Collaborate on performance improvement activities and support resolution of identified issues.
Distribute analytical reports.
Use system applications to conduct analysis and create reports and educational materials.
Research and compile information for operational projects and initiatives.
Analyze and summarize data, including graphical presentations of trends and practical recommendations, to support leadership decision-making.
Use operational data and measurements to demonstrate progress, return on investment, and impact.
Follow applicable laws, regulations, Trinity Health policies, compliance requirements, and safe work practices.
For the Patient Access Account Specialist pathway: analyze, process, and edit items for correctness under payer guidelines; resolve items to ensure claims are billed accurately; and process payments timely.