Representative I, Patient Access-Full time-Days

MercyOne; Davenport (IA); On-site; USD 36,000 - 48,000; Full time

Job summary

Trinity Health is seeking a Patient Access Account Specialist responsible for outpatient and inpatient registration, insurance verification, and collecting patient financial liability payments. This entry level role emphasizes accuracy, confidentiality, and customer service.

You will work within our hospital settings, using multiple systems to verify eligibility, resolve payer requirements, and support leaders with timely, data-driven reports.

Qualifications

• Entry level position; minimum one year customer service experience.
• Patient Access experience preferred.

Responsibilities

• Register patients for outpatient and inpatient services.
• Verify insurance and collect payments.
• Provide information to hospital users and physician offices.
• Prepare and analyze operational data and reports.
• Support leadership decision making with data presentations.

Skills

Customer service

Data analysis

Problem solving

Job description

Employment Type: Full timeShift: 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.

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.