Representative I, Patient Access-Full time

MercyOne Medical Group; Davenport (IA); On-site; USD 29,000 - 36,000; Full time

Job summary

Mercy One Genesis is seeking a Patient Access Account Specialist to support outpatient and inpatient registration and insurance verification. The role includes collecting payments, verifying eligibility, and ensuring patients meet financial requirements. Some weekend and holiday coverage may apply.

Entry-level position with a preference for candidates with hospital registration or payer verification experience. Strong data analysis, problem solving and customer service skills are required.

Qualifications

• Minimum one year of customer service experience.
• Two plus years hospital registration or insurance verification experience.
• Ability to analyze data and follow payer guidelines.

Responsibilities

• Handle patient access registration and insurance verification.
• Process payments timely and ensure billing accuracy for claims.
• Provide general information to patients, families and physician offices.

Skills

Customer service

Data analysis

Critical thinking

Problem solving

Job description

Employment Type: Full time Shift: Day Shift Description: 0700-1530 with every other weekend and some holidays

Purpose

Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.

Essential Functions

Our Trinity Health Culture

Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Work Focus

Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports.

Process Focus

Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge.

Data Management & Analysis

Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts.

Maintains a Working Knowledge

of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Schedule:

• Hours: 1100-1930
• 32 hours per week
• Every other weekend Some Holidays.

PAR I

Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred.

Patient Access Account Specialist

Additional minimum qualification of two plus (2+) years hospital registration or insurance verification experience. Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization’s strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge. Responsible for analyzing, processing & editing for correctness based on payer guidelines. Resolves items & ensures claims are billed accurately. Processes payments timely.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Mercy One Genesis