Representative I, Patient Access-Full time-Days
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 supports operational projects and initiatives by researching, compiling, synthesizing, and analyzing information. It prepares detailed summaries and graphical presentations that illustrate trends and recommend practical options or solutions, and uses program and operational data to demonstrate progress, return on investment, and impacts. The role also collaborates on performance-improvement activities and distributes analytical reports. The Representative uses multiple system applications to perform analysis, create reports, and develop educational materials. The position applies knowledge of Trinity Health policies, practices, and processes, and maintains awareness of applicable laws, regulations, compliance requirements, and workplace safety practices. PAR I is an entry-level role. PAR II performs PAR I duties and is cross-trained to perform activities in Pre-Service, the Emergency Department, and/or Bed Desk.
Requirements
- PAR I: Minimum of one year of customer service experience.
- PAR II: Minimum of two years of hospital registration or insurance verification experience upon hire.
- PAR II: Knowledge of medical terminology, diagnostic coding, and procedural coding.
- PAR II: Ability to explain insurance benefits.
- Demonstrate knowledge of departmental processes and procedures and ability to acquire new knowledge.
- Incorporate Trinity Health Mission, Values, Vision, Actions, and Promise in behaviors, practices, and decisions.
- Follow applicable federal, state, and local laws and regulations, the Trinity Health Integrity & Compliance Program and Code of Conduct, and relevant policies and guidelines.
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 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, compile, and analyze information for operational projects and initiatives.
- Collaborate on performance-improvement activities related to program efficiency and patient experience.
- Distribute analytical reports.
- Use multiple system applications to analyze information, create reports, and develop educational materials.
- Prepare detailed summaries and graphical presentations illustrating trends and recommending practical options or solutions.
- Use program and operational data and measurements to demonstrate progress, return on investment, and impacts.
- Maintain knowledge of relevant laws, regulations, compliance requirements, policies, procedures, and guidelines, and follow safe work practices.
- For PAR II, perform cross-trained activities in Pre-Service, the Emergency Department, and/or Bed Desk.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
