Patient Access Rep - ED/Weekend Baylor

MercyOne Medical Group; Mason City (IA); On-site; USD 32,000 - 46,000; Full time

Job summary

MercyOne Medical Group in Mason City, IA seeks a patient access specialist to perform outpatient and inpatient registration, insurance verification, and collection of patient liabilities at check-in. You will interact with patients, families, and physician offices to ensure accurate information and payment collection.

The role requires a high school diploma, knowledge of medical terminology, and experience in hospital registration or insurance verification. Weekend shifts are included.

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 year of hire.

Responsibilities

• Validate/obtain and enter demographic, clinical, financial, and insurance information into the patient accounting system by interviewing the patient, family member or guarantor.
• Registration across multiple settings and patient types (Inpatients, Outpatients, Ambulatory Surgery, ED, etc.).
• Prepare patient estimate and inform patient/guarantor of liabilities; collect co-pays, co-insurances, deductibles, deposits and balances at check-in; document payments in system and provide receipts.
• Obtain signed physician orders for tests/procedures from physicians/offices.
• Prepare identification bracelets and patient ID labels; obtain signatures on required forms; audit assets if needed.

Skills

Customer service

Insurance verification

Medical terminology

Data entry

Hospital registration

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

Weekend Shift

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.

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

• Emergency Department 12 hour shifts Thurs - 0630-1900 Sat - Sun 0700-1930 (Baylor pay)

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.