Representative I, Patient Access-Full time-Days

Trinity Health•Davenport, IA

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 8:30 a.m. to 5:00 p.m., with every other weekend and some holidays. The role supports MercyOne’s mission, values, vision, actions, and promise, and uses multiple system applications to analyze information, create reports, and develop educational materials. It also involves research and analysis of operational data, preparation of summaries and graphical presentations, and collaboration on performance improvement activities to support program efficiency, patient experience, and leadership decision-making. The position requires adherence to applicable laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, and relevant policies and procedures, with a focus on honest, ethical, professional, confidential, and safe work practices. The description also outlines a PAR II level that performs PAR I duties and is cross-trained to perform activities in Pre-Service, the Emergency Department, and/or the Bed Desk.

Requirements

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

Nice To Haves

Patient Access experience preferred.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification.
Collect patient financial liability payments.
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, compile, and analyze information for operational projects and initiatives.
Prepare analytical reports, detailed summaries, and graphical data presentations that illustrate trends and recommend practical options or solutions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impact.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Collaborate on performance improvement activities related to program efficiency and patient experience.
For PAR II duties, cross-train and perform activities in Pre-Service, the Emergency Department, and/or the Bed Desk.
Follow applicable laws, regulations, compliance requirements, policies, procedures, and safe work practices.