Representative I, Patient Access-Full time-Days

Trinity Health•Davenport, IA

2d•Onsite

About The Position

As a Representative I at MercyOne, you will provide patient-focused customer service. You will perform outpatient and/or inpatient registration and insurance verification functions, collect patient financial liability payments, and ensure patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. You will provide general information to hospital users, patients, families, and physician offices. The role also supports operational analysis and performance improvement. It involves researching, collecting, and analyzing information; identifying opportunities and developing solutions; distributing analytical reports; and collaborating on performance improvement activities related to program efficiency and patient experience. The Representative uses multiple system applications to analyze information, create reports, and develop educational materials, while prioritizing quality, confidentiality, and safety. The position researches and compiles information for ad hoc operational projects and initiatives; analyzes data and prepares detailed summaries, including graphical presentations of trends and practical options or solutions; and uses program and operational data to demonstrate progress, return on investment, and impact. The role requires maintaining knowledge of applicable laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, and relevant policies and procedures. The posting describes PAR I as an entry-level position. PAR II performs PAR I duties and is cross-trained to perform activities in Pre-Service, the Emergency Department, and/or Bed Desk, with additional experience and knowledge requirements.

Requirements

PAR I: At least one year of customer service experience.
PAR II: At least two years of hospital registration or insurance verification experience upon hire.
PAR II: Knowledge of medical terminology, diagnostic coding, and procedural coding.
PAR II: Ability to explain insurance benefits.
Demonstrated knowledge of departmental processes and procedures and ability to acquire new knowledge.
Basic knowledge of Trinity Health policies, practices, and processes, with attention to quality, confidentiality, and safety.
Working knowledge of applicable federal, state, and local laws and regulations; Trinity Health’s Integrity and Compliance Program and Code of Conduct; and other relevant policies, procedures, and guidelines.

Nice To Haves

Patient Access experience is preferred for PAR I.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments and ensure patients meet financial requirements, 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, develop solutions, and lead through resolution.
Collaborate on performance improvement activities based on program efficiency and patient experience outcomes.
Distribute analytical reports.
Use multiple system applications to analyze information, create reports, and develop educational materials.
Research and compile information for ad hoc operational projects and initiatives.
Synthesize and analyze data; prepare detailed summaries and graphical presentations of trends, with practical options or solutions to support leadership decision-making.
Use program and operational data and measurements to define and demonstrate progress, ROI, and impacts.
Maintain working knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines to support honest, ethical, professional behavior and safe work practices.
For PAR II, perform PAR I duties and cross-trained activities in Pre-Service, the Emergency Department, and/or Bed Desk.