Representative I, Patient Access-Part time-Nights

Trinity Health•Davenport, IA

About The Position

At MercyOne, health care extends beyond medical visits to improving and maintaining the health of the communities it serves. MercyOne Genesis serves the Quad Cities and surrounding communities in Eastern Iowa and Western Illinois and has been recognized for patient safety and health-system quality. The Representative I provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. The role 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. This is a part-time night-shift position scheduled from 11:00 p.m. to 7:00 a.m., every other weekend and some holidays. The description also outlines a PAR II level, which performs PAR I duties and may be cross-trained in Pre-Service, the Emergency Department, and/or Bed Desk.

Requirements

For PAR I: at least one year of customer service experience.
For PAR II: at least two years of hospital registration or insurance verification experience at 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 for PAR I.

Responsibilities

Demonstrate Trinity Health’s Mission, Values, Vision, Actions, and Promise in behaviors, practices, and decisions.
Provide patient-focused customer service.
Perform outpatient and/or inpatient registration and insurance verification functions.
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.
Apply knowledge of Trinity Health policies, practices, and processes to prioritize quality, confidentiality, and safety; demonstrate knowledge of departmental procedures and acquire new knowledge as needed.
Research and compile information for ad-hoc operational projects and initiatives.
Synthesize and analyze data and prepare detailed summaries, including graphical presentations of trends and practical options or solutions, to support business strategy and leadership decisions.
Use program and operational data and measurements to define and demonstrate progress, return on investment, and impacts.
Maintain working knowledge of applicable laws and regulations, the Trinity Health Integrity & Compliance Program and Code of Conduct, and relevant policies and guidelines; adhere to them through honest, ethical, professional behavior and safe work practices.
For PAR II, perform PAR I duties and, when cross-trained, perform activities in Pre-Service, the Emergency Department, and/or Bed Desk.