Patient Access Representative

Mercy St. Louis; Springfield (MO); On-site; USD 34,000 - 42,000; Full time

Job summary

Mercy is seeking a Patient Access Representative to be the first point of contact for patients entering Mercy facilities. You will handle scheduling, registration, benefit verification, pre-certification, and financial clearance with accuracy and empathy.

Responsibilities include collecting patient data, explaining financial responsibility, documenting outcomes of conversations, and guiding patients through payment options and financial assistance resources, while upholding Mercy Service

Qualifications

• 1–3 years clerical experience and customer service experience preferred.
• Experience with medical terminology and insurance plans preferred.
• High School diploma required; some college helpful.

Responsibilities

• Serve as the first point of contact for patients and Mercy, delivering compassionate service.
• Facilitate scheduling, registration, benefit verification, pre-certification and financial clearance.
• Obtain and verify accurate patient data and document outcomes of financial conversations.

Skills

Customer service

Scheduling

Registration

Benefit verification

Financial clearance

Medical terminology

Attention to detail

Communication

Data entry

Insurance knowledge

Education

High School diploma

Tools

10-key calculator

Computer keyboard

Electronic health records (EHR)

Job description

Find your calling at Mercy!

The Patient Access Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy Service Standards.

The Patient Access Representative will facilitate all components of the patient's entrance into any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This caregiver must have exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies. This may include scheduling, registration, benefit verification, pre-certification, financial clearance, and the collection of patient financial responsibility before or at the time of service. The Patient Access Representative is responsible for communicating applicable financial responsibility, requesting payment, explaining available payment options and financial assistance resources, and accurately documenting the outcome of each required financial conversation.

Position Details:

1-3 years clerical experience and customer service experience preferred. Experience with medical terminology and insurance plans preferred. High School diploma required; some college helpful.

Minimum skills, knowledge and ability requirements:

• Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
• Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
• Strong organizational skills; attention to detail.
• Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy.
• Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.
• Ability to discuss patient financial responsibility, outstanding balances, payment options, and financial assistance resources with confidence, professionalism, empathy, and accountability.
• Ability to respond appropriately to patient questions or concerns, explain available financial resources, and complete required referrals.
• Ability to consistently follow and document established patient financial engagement and collection workflows.

Physical Requirements:

• Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
• Position requires prolonged standing and walking during each shift.
• Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.

Why Mercy?

• From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.