Patient Access Rep - Full Time/Days - Regency Clinic

IA_MMC Mercy Health Services - Iowa, Corp.; Mason City (IA); On-site; USD 38,000 - 52,000; Full time

Job summary

Trinity Health Corp. is seeking a patient registration professional to support outpatient and inpatient services. You will verify demographics, insurance, and financial information, and collect patient liabilities at check-in, ensuring accuracy and compliance across multiple hospital settings.

The role requires knowledge of medical terminology and coding basics, with HFMA CRCR or NAHAM CHAA certification within one year of hire. This is a full-time day-shift position within a major health system.

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.

Responsibilities

• Validate/enter demographic, clinical, financial, and insurance information into the patient accounting system by interviewing patient, family member, or guarantor.
• Perform registration across multiple settings and patient types (Inpatients, Outpatients, Ambulatory Surgery, ED, Diagnostics, Labor & Delivery, Newborn, Lab) as needed.
• Prepare patient estimate and inform patient/guarantor of liabilities, collecting co-pays, co-insurances, deductibles, deposits, and outstanding balances at check-in.
• Document and receipt payments in the patient accounting system; provide patient with payment receipt.
• Obtain signed physician orders for tests/procedures from physicians/offices.
• Prepare identification bracelets and patient ID labels.
• Obtain/scan signatures on required forms (IDs, insurance, consent, assignment, release, waivers).
• May audit and secure patient valuables with required authorizations.

Skills

Hospital registration

Insurance verification

Medical terminology

Diagnostic coding

Explain insurance benefits

HFMA CRCR or NAHAM CHAA within 1 year

Education

High school diploma or equivalent

Job description

Employment Type & Shift

Employment Type: Full time Shift: 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.

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.

Hours/Schedule

Monday - Friday 0730-1600

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.

About Trinity Health

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.