Patient Access Rep - Central Registration

Trinity Health; Mason City (IA); On-site; USD 32,000 - 45,000; Full time

Job summary

Trinity Health in Mason City, IA seeks a full-time patient access representative responsible for registration, insurance verification, and collecting patient liabilities at check-in.

You will interview patients or guarantors, enter data into the patient accounting system, explain benefits, and coordinate with physicians' offices. Day shift Mon-Fri 0830-1700. HFMA CRCR or NAHAM CHAA within 1 year.

Qualifications

• High school diploma or equivalent.
• Hospital registration or insurance verification experience preferred.
• Knowledge of medical terminology, diagnostic coding & procedural coding required.
• Ability to explain insurance benefits.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

Responsibilities

• Validate/obtain and enter demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family, or guarantor.
• Perform registration tasks in diverse settings for multiple patient types (Inpatients, Outpatients, Ambulatory Surgery, ED, Lab, etc.).
• Prepare patient estimates, inform patients of liabilities, and collect co-pays, co-insurances, deductibles, deposits, and balances at check-in; document payments in the system and provide receipts.
• Obtain signed physician orders for tests and procedures.
• Prepare identification bracelets and patient ID labels; obtain signatures on forms and secure valuables with authorization if needed.

Skills

Customer service

Interviewing

Insurance verification

Medical terminology

Education

High school diploma or equivalent

HFMA CRCR or NAHAM CHAA within 1 year

Job description

Position 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.

Employment Type

Full time

Shift

Day Shift

Description

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.

What You Will Do

• Responsible for validating/obtaining and entering demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family member and/or guarantor.
• Preforms activities that are related to registration in a variety of setting/locations and for multiple patient types (Inpatients, Outpatients, Ambulatory Surgery, Emergency Department, Diagnostic Outpatients, Labor & Delivery, Newborn, Lab Specimens, etc).
• Prepare patient estimate and informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of check-in. In the collection of funds, documents payments/actions in the patient accounting system and provides the patient with a payment receipt.
• Obtains signed physician orders for all tests and procedures from physicians/offices.
• Prepares identification bracelets and patient ID labels. Obtains/scans patient/guarantor signatures on required forms (ID cards, insurance cards, consent to treatment, assignment of benefits, release of information, waivers, etc.). May audit & record the patient's valuables, securing appropriate authorizations, if needed.

Hours/Schedule

• Central Registration Mon-Fri 0830-1700

Minimum Qualifications

• High school diploma or equivalent.
• Hospital registration or insurance verification experience upon hire preferred.
• Knowledge of medical terminology, diagnostic coding & procedural coding required.
• Ability to explain insurance benefits.
• HFMA CRCR or NAHAM CHAA required within one (1) year of hire.

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.