Representative I, Patient Access-Part time-Nights

Trinity Health•Davenport, IA

About The Position

At MercyOne, a Representative I provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification functions. The role collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. It also provides general information to hospital users, patients, families, and physician offices. The position is part-time, working 11:00 p.m. to 7:00 a.m., every other weekend and some holidays. The Representative I is an entry-level role requiring at least one year of customer service experience; Patient Access experience is preferred. The posting also describes Representative II duties and qualifications separately. Representative II performs Representative I work and is cross-trained in Pre-Service, the Emergency Department, and/or Bed Desk activities.

Requirements

Minimum of one year of customer service experience for Representative I.
For Representative II, a minimum of two years of hospital registration or insurance verification experience upon hire.
For Representative II, knowledge of medical terminology, diagnostic coding, and procedural coding is required.
For Representative II, ability to explain insurance benefits is required.

Nice To Haves

Patient Access experience is preferred.

Responsibilities

Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification functions.
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.
Demonstrate MercyOne/Trinity Health Mission, Values, Vision, Actions, and Promise in work behaviors, practices, and decisions.
Research, collect, and analyze information; identify opportunities; develop solutions; and lead issues through resolution.
Collaborate on performance improvement activities based on program efficiency and patient experience outcomes.
Distribute analytical reports.
Use multiple system applications to perform analysis, create reports, and develop educational materials.
Apply knowledge of Trinity Health policies, practices, processes, and departmental procedures to prioritize quality, confidentiality, and safety.
Research and compile information for ad-hoc operational projects and initiatives.
Synthesize and analyze data, prepare detailed summaries and graphical presentations of trends, and recommend practical options or solutions to support leadership decisions.
Use program and operational data and measurements to demonstrate progress, return on investment, and impact.
Maintain working knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines, and follow honest, ethical, professional, and safe work practices.