Representative I, Patient Access-Full time-Evenings

Trinity Health•Davenport, IA

2d•Onsite

About The Position

As a Representative I at MercyOne, you will provide patient-focused customer service. You will 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. You will also provide general information to hospital users, patients, families, and physician offices. This is an entry-level Patient Access role. The position works 40 hours per week on an evening schedule. The posting also describes a Representative II level, which performs Representative I duties and may be cross-trained in Pre-Service, the Emergency Department, and/or Bed Desk; Representative II qualifications are listed separately.

Requirements

Minimum of one year of customer service experience for the Representative I level.
For Representative II: 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.
For Representative II: ability to explain insurance benefits.

Nice To Haves

Patient Access experience is preferred for Representative I.

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 Trinity Health’s Mission, Values, Vision, Actions, and Promise in workplace 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, and processes 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 that illustrate 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 working knowledge of applicable laws, regulations, compliance requirements, and policies to support ethical behavior and safe work practices.