Patient Access Rep - PRN (on call/as needed)

Trinity Health•Mason City, IA

About The Position

Provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. The role collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity, payer precertifications, and referrals. It also provides general information to hospital users, patients, families, and physician offices. The representative validates, obtains, and enters demographic, clinical, financial, and insurance information into the patient accounting system by interviewing patients, family members, and/or guarantors. Registration activities take place in a variety of settings and cover multiple patient types, including inpatients, outpatients, ambulatory surgery, emergency department, diagnostic outpatients, labor and delivery, newborn, and lab specimens. The position prepares patient estimates, explains liabilities, and collects applicable payments at check-in, including copayments, coinsurance, deductibles, deposits, and outstanding balances. Payments and related actions are documented in the patient accounting system, and receipts are provided. The representative obtains signed physician orders, prepares identification bracelets and patient ID labels, and obtains or scans required patient or guarantor signatures on forms. The role may also audit and record patient valuables and secure appropriate authorizations. This is a part-time, PRN, on-call/as-needed position with a rotating shift.

Requirements

High school diploma or equivalent.
Knowledge of medical terminology, diagnostic coding, and procedural coding.
Ability to explain insurance benefits.
HFMA CRCR or NAHAM CHAA certification required within one year of hire.

Nice To Haves

Hospital registration or insurance verification experience upon hire preferred.

Responsibilities

Validate, obtain, and enter demographic, clinical, financial, and insurance information into the patient accounting system through interviews with patients, family members, and/or guarantors.
Perform registration activities in various settings for multiple patient types, including inpatient, outpatient, ambulatory surgery, emergency department, diagnostic outpatient, labor and delivery, newborn, and lab specimen visits.
Prepare patient estimates and explain patient or guarantor financial liabilities.
Collect copayments, coinsurance, deductibles, deposits, and outstanding balances at check-in.
Document payments and related actions in the patient accounting system and provide payment receipts.
Obtain signed physician orders for tests and procedures from physicians or offices.
Prepare patient identification bracelets and ID labels.
Obtain or scan patient or guarantor signatures on required forms, including identification and insurance cards, consent to treatment, assignment of benefits, release of information, and waivers.
May audit and record patient valuables and secure appropriate authorizations.
Provide general information to hospital users, patients, families, and physician offices.
Perform insurance verification and help ensure financial requirements are met, including medical necessity, payer precertifications, and referrals.