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

Trinity Health • Mason City, IA

6d

About The Position

Provides patient-focused customer service and performs outpatient and/or inpatient registration and insurance verification. Collects patient financial liability payments and ensures patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals. Provides general information to hospital users, patients, families, and physician offices.

This PRN, on-call/as-needed role performs registration activities across a variety of settings and patient types. It validates, obtains, and enters demographic, clinical, financial, and insurance information into the patient accounting system through interviews with patients, family members, and/or guarantors. The role also prepares patient estimates, explains financial liabilities, collects and documents payments, and provides receipts. Additional duties include obtaining physician orders, preparing identification bracelets and labels, collecting and scanning required signatures, and potentially auditing and recording patient valuables while securing appropriate authorizations.

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 is preferred.

Responsibilities

• Validate, obtain, and enter demographic, clinical, financial, and insurance information into the patient accounting system by interviewing patients, family members, and/or guarantors.
• Perform registration activities in varied settings for multiple patient types, including inpatients, outpatients, ambulatory surgery, emergency department, diagnostic outpatients, labor and delivery, newborns, and lab specimens.
• Prepare patient estimates and explain liabilities to patients or guarantors.
• Collect appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits, and outstanding balances at check-in; document payments and actions in the patient accounting system and provide receipts.
• Obtain signed physician orders for tests and procedures from physicians or offices.
• Prepare identification bracelets and patient ID labels.
• Obtain and scan patient or guarantor signatures on required forms, including ID cards, insurance cards, consent to treatment, assignment of benefits, release of information, and waivers.
• May audit and record patient valuables and secure appropriate authorizations when needed.
• Provide general information to hospital users, patients, families, and physician offices.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED