Patient Access Rep - Full Time/Days

IA_MMC Mercy Health Services - Iowa, Corp.; Mason City (IA); On-site; USD 21,000 - 28,000; Full time

Job summary

Trinity Health Corp. in Mason City, IA seeks a patient access specialist to perform outpatient and inpatient registration, verify insurance, and collect patient liabilities at check-in.

You will enter demographic and clinical information into the patient accounting system, obtain physician orders, and prepare ID cards and forms for various departments. The role requires knowledge of medical terminology and coding, ability to explain benefits, and HFMA CRCR or NAHAM CHAA within one year.

Qualifications

• High school diploma or equivalent.
• Prefer hospital registration or insurance verification experience.
• Knowledge of medical terminology and coding required.
• Ability to explain insurance benefits.
• HFMA CRCR or NAHAM CHAA within one year of hire.

Responsibilities

• Validate and enter demographic, clinical, financial, and insurance information into the patient accounting system by interviewing patients/family.
• Register in inpatient, outpatient, ambulatory, ED, and other clinical settings.
• Prepare patient estimates and collect liabilities at check-in.
• Obtain physician orders and prepare IDs and consent forms.
• Audit and record patients' valuables when needed.

Skills

Customer service

Insurance verification

Data entry

Communication

Terminology knowledge

Education

High school diploma or equivalent

Tools

Patient accounting system

Job description

Employment Type: Full time Shift: 12 Hour Day 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: Monday - Wednesday 0700-1930 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. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.