Representative I, Patient Access-Full time-Days

Trinity Health•Davenport, IA

About The Position

MercyOne is hiring a Representative I to provide patient-focused customer service. The position performs outpatient and/or inpatient registration and insurance verification, collects patient financial liability payments, and helps ensure 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 schedule is Monday through Friday, 7:30 a.m. to 4:00 p.m. The representative must be flexible to work in Emergency Room Department Registration as needed and occasional weekend hours. This entry-level role requires at least one year of customer service experience; Patient Access experience is preferred. The posting also describes a PAR II level, which performs the PAR I role and is cross-trained in Pre-Service, Emergency Department, and/or Bed Desk activities. PAR II requires at least two years of hospital registration or insurance verification experience, knowledge of medical terminology and diagnostic and procedural coding, and the ability to explain insurance benefits. The posting additionally describes work involving operational research, data analysis, reporting, performance improvement, and use of multiple system applications. These duties include compiling information for operational projects, analyzing and presenting trends, recommending practical solutions, and using program and operational measurements to demonstrate progress, return on investment, and impact. The representative is expected to follow applicable laws, regulations, Trinity Health policies, the Integrity & Compliance Program, and Code of Conduct, and to demonstrate honest, ethical, professional, and safe work practices. MercyOne is an equal opportunity employer. Its commitment emphasizes honoring each person’s dignity, embracing colleagues’ varied perspectives and experiences, and providing compassionate, person-centered care.

Requirements

At least one year of customer service experience for PAR I.
For PAR II, at least 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.
Flexibility to work in Emergency Room Department Registration as needed and occasional weekend hours.
Knowledge of departmental processes and procedures, and ability to acquire new knowledge.
Ability to use multiple system applications for analysis, reporting, and development of educational materials.
Ability to research, compile, synthesize, and analyze information and communicate findings through detailed summaries and graphical presentations.
Maintain working knowledge of applicable laws, regulations, 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.
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.
Work in Emergency Room Department Registration as needed and, for PAR II, perform cross-trained activities in Pre-Service, Emergency Department, and/or Bed Desk.
Research, collect, analyze, and compile information for operational projects and initiatives.
Collaborate on performance improvement activities related to program efficiency and patient experience.
Prepare and distribute analytical reports and develop educational materials using multiple system applications.
Synthesize and analyze data, present trends, and recommend practical options or solutions to support leadership decision-making.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Follow applicable laws, regulations, organizational policies, procedures, and guidelines, maintaining confidentiality, quality, safety, and ethical professional conduct.