Representative I, Patient Access-Full time-Silvis-Evenings

Trinity Health•Silvis, IL

About The Position

MercyOne is seeking a Representative I to provide patient-focused customer service. The role 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. The Representative provides general information to hospital users, patients, families, and physician offices. The schedule is 1500–2330, with work every other weekend and some holidays. The position incorporates MercyOne and Trinity Health’s mission, values, vision, and practices, and supports operational and patient-experience improvement through research, data analysis, reporting, and collaboration. The posting also describes PAR II duties and qualifications for cross-trained staff working in Pre-Service, the Emergency Department, and/or Bed Desk.

Requirements

Minimum one year of customer service experience for PAR I.
For PAR II, minimum two years of hospital registration or insurance verification experience upon hire.
For PAR II, knowledge of medical terminology, diagnostic coding, and procedural coding.
For PAR II, ability to explain insurance benefits.
Knowledge of departmental processes and procedures, and ability to readily acquire new knowledge.

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 patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals.
Provide general information to hospital users, patients, families, and physician offices.
Demonstrate Trinity Health’s Mission, Values, Vision, Actions, and Promise in behaviors, practices, and decisions.
Research, collect, and analyze information; identify opportunities; develop solutions; and lead issues through resolution.
Collaborate on performance-improvement activities related to program efficiency and patient experience.
Distribute analytical reports.
Use multiple system applications to perform analysis, create reports, and develop educational materials while prioritizing quality, confidentiality, and safety.
Research and compile information for ad-hoc operational projects and initiatives.
Analyze data and prepare detailed summaries, including graphical presentations of trends and practical options or solutions, to support leadership decision-making and business strategy.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Maintain working knowledge of applicable laws, regulations, compliance requirements, codes of conduct, policies, procedures, and guidelines, and follow honest, ethical, professional, and safe work practices.
For PAR II staff, perform PAR I duties and cross-trained activities in Pre-Service, the Emergency Department, and/or Bed Desk.