Representative I, Patient Access-Full time-Nights
About The Position
MercyOne is hiring 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. It also provides general information to hospital users, patients, families, and physician offices. The position applies Trinity Health’s mission, values, vision, actions, and promise in its work. It researches, collects, and analyzes information; identifies opportunities and develops solutions; supports performance improvement; and distributes analytical reports. It uses multiple system applications to analyze information, create reports, and develop educational materials while prioritizing quality, confidentiality, and safety. The role also compiles information for operational projects and initiatives, analyzes data, and prepares summaries and graphical presentations that illustrate trends and recommend practical options. It uses program and operational measurements to demonstrate progress, return on investment, and impact, and maintains knowledge of applicable laws, regulations, compliance requirements, and organizational policies.
Requirements
- Minimum of one year of customer service experience for PAR I.
- For PAR II: 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.
- For PAR II: ability to explain insurance benefits.
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.
- 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.
- 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.
- Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
- Maintain knowledge of applicable laws, regulations, compliance requirements, policies, procedures, and guidelines, and follow safe work practices.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
