Patient Access Rep - Central Registration

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

Job summary

MercyOne Medical Group in Mason City, IA seeks a full-time Registration & Insurance Verification Specialist to provide patient-centered service at check-in and to verify insurance coverage and eligibility.

The role includes collecting copays, preparing patient estimates, obtaining signatures on forms, and entering accurate demographic and insurance data into the system. Day shift schedule, standard hospital hours.

Qualifications

• Familiar with medical terminology and coding basics.
• Experience validating insurance coverage and benefits is preferred.
• Excellent communication and interpersonal skills required.
• Ability to explain financial responsibilities to patients clearly.

Responsibilities

• Validate/obtain and enter demographic, clinical, financial, and insurance information by interviewing patient/family/guarantor.
• Handle registration across settings (inpatient/outpatient/ambulatory) for multiple patient types.
• Prepare patient estimates and collect liabilities at check-in; document payments in the system.
• Obtain signed physician orders for tests/procedures and ensure required forms are completed.
• Prepare patient ID bands, verify insurance cards, and secure valuables if needed.

Skills

Medical terminology

Insurance verification

Customer service

Data entry

Education

High school diploma

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.