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 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 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 is an entry-level PAR I position. A PAR II performs PAR I duties and is cross-trained to perform activities in Pre-Service, the Emergency Department, and/or Bed Desk.

Requirements

Minimum of one year of customer service experience for PAR I.
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 required for PAR II.
Ability to explain insurance benefits for PAR II.
Ability to work occasional weekend hours and in Emergency Room Department Registration as needed.

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.
Demonstrate MercyOne and Trinity Health mission, values, vision, actions, and promise in behaviors, practices, and decisions.
Research, collect, and analyze information; identify opportunities, develop solutions, and lead 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.
Follow applicable policies, practices, processes, laws, regulations, and guidelines to prioritize quality, confidentiality, safety, compliance, and professional conduct.
Research and compile information for ad-hoc operational projects and initiatives.
Analyze data and provide detailed summaries, including graphical presentations of trends and practical options or solutions, to support business strategy and leadership decision-making.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.