Clive Patient Access Representative I, 1st Shift 730 - 1600 M-F

MercyOne; Clive (IA); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Access Representative to manage outpatient and inpatient registrations. This role involves financial clearance, patient interaction, and ensuring compliance with insurance requirements. Ideal candidates will have a high school diploma, patient access experience, and strong communication skills. Join a team committed to providing excellent customer service and supporting patient care.

Qualifications

• At least one year of patient access experience in a hospital or clinic.
• HFMA CRCR or NAHAM CHAA certification required within one year of hire.
• Knowledge of medical terminology and insurance verification skills.

Responsibilities

• Performs outpatient and inpatient registrations including financial clearance tasks.
• Collects patient financial liability payments and provides information to users.
• Coordinates with clinical teams to ensure safety and service efficiency.

Skills

Customer Service

Communication

Multitasking

Clerical Skills

Computer Skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Performs outpatient and inpatient registrations including financial clearance tasks and functions. Collects patient financial liability payments, provides general information to hospital users, patients, families, and physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications, and referrals. Provides excellent patient-focused customer service and communicates effectively to service delivery areas to maximize patient flow and customer service.

Monday - Friday 7:30 AM - 4:00 PM

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.

Greets patients upon their arrival, enters patient into the tracking system, and distributes patient information according to hospital policy and compliance regulations. Obtains State-issued photo ID.

Identifies and selects the correct medical record number for patients listed in the hospital database or creates a new record for new patients. Validates and enters demographic and primary care physician information, reviewing for accuracy.

Understands insurance requirements, including referrals and forms, and verifies insurance and eligibility at registration and when needed.

Verifies physician scripts for completion, follows up on invalid or incomplete scripts, and manages level of care/status changes.

Understands coding basics for diagnoses and procedures for insurance and Medicare compliance, and obtains necessary consents for Medicare.

Uses system alerts to identify errors, resolves issues within 72 hours of admission.

Collects payments, identifies outstanding balances, and provides receipts. Assists with financial counseling and distributes information on relevant laws.

Obtains signatures on consents, ensures paperwork is transported correctly, and scans documents into the system. Bands patients with wristbands as per policy.

Coordinates with clinical teams to ensure safety and service efficiency. Provides support across outpatient registration areas as needed.

Understands downtime protocols and manages time effectively to meet productivity standards, ensuring accuracy and completeness in registrations.

Participates in training and performance improvement initiatives, and performs other duties as assigned.

Maintains compliance with policies, laws, and ethical standards, embodying honesty, integrity, and professionalism.

MINIMUM QUALIFICATIONS

High school diploma or equivalent. At least one year of patient access experience in a hospital or clinic. Experience in a multi-site environment preferred.

HFMA CRCR or NAHAM CHAA certification required within one year of hire.

Hospital registration experience, medical terminology knowledge, insurance verification skills, and effective communication skills required.

Ability to multitask, prioritize, and provide excellent customer service. Strong clerical and computer skills, familiarity with Microsoft Office, and interpersonal skills are essential.

Willingness to learn new tasks and work collaboratively in a team environment. Personal qualities of honesty, integrity, and caring are necessary.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

Standard office environment; well-lit, temperature-controlled, low to moderate noise. Frequent communication via phone and in person. Manual dexterity for computer work and handling documents. Visual acuity for screen work. Ability to lift up to 15 pounds and assist with patients as needed. Must organize work and adapt to changing priorities, working in a sometimes stressful environment.

The above describes general duties and is not exhaustive.

Our Commitment to Diversity and Inclusion

Trinity Health values diversity, equity, and inclusion, reflecting our Mission and Core Values. We are an Equal Opportunity Employer, welcoming applicants regardless of race, religion, gender, sexual orientation, or protected status.