Representative-Patient Access I-PRN

IHA; Dubuque (IA); On-site; USD 20,664,000 - 26,174,000; Part time

Job summary

MercyOne Dubuque is seeking a Representative I in Patient Access to provide patient-focused service. You will perform outpatient and inpatient registration and insurance verification, collect payments, and ensure patients meet financial requirements including Medicare and payer pre-certifications.

You will also share information with hospital users, patients, families and physician offices. Minimum qualifications include a high school diploma or equivalent; one year of customer service

Qualifications

• Minimum one year of customer service experience; Patient Access experience preferred.
• HFMA CRCR or NAHAM CHAA within one year of hire.
• High school diploma or equivalent.

Responsibilities

• Register patients and verify insurance for outpatient and inpatient services.
• Collect patient financial liability payments and verify payer pre-certifications.
• Provide general information to patients, families and physician offices.

Skills

Customer service

Data analysis

Communication

Education

High school diploma or equivalent

HFMA CRCR or NAHAM CHAA within 1 year

Job description

Description
At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.

Employment Type
Part time

Shift
Rotating Shift

Description
At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well.
MercyOne Dubuque is the leading hospital in the tri-states, offering the only comprehensive cardiology center and Level II regional neonatal intensive care unit in the area as well as the newly constructed MercyOne Dubuque Cancer Center. Other services include a trauma center, a CARF-accredited inpatient rehabilitation unit, orthopedics, retail pharmacies, palliative care and a wide range of outpatient and community services. MercyOne operates two hospital-based skilled nursing units and a 40-bed nursing home.
In recognition of the strength of its nursing service and the overall quality of patient care, MercyOne Dubuque has been designated a Magnet hospital four consecutive times – the nation’s most prestigious award for nursing excellence.
Join the MercyOne Family! We are looking to hire a Representative I in Patient Access.
As a Representative I at MercyOne, you will provide 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.

Schedule
PRN-as needed

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

Patient Access Account SpecialistAdditional 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.

Minimum QualificationsHigh school diploma or equivalent.
HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Want to learn more about MercyOne Dubuque? Click here: Find a Location Dubuque, Iowa (IA), MercyOne Dubuque

Our CommitmentRooted 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.