Patient Access Rep - Part Time/Nights

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 pre-certifications, and referrals. It also provides general information to hospital users, patients, families, and physician offices. The position works Monday and Thursday nights from 1830 to 0700 in a 12-hour night-shift schedule.

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 across a variety of settings and locations and for multiple patient types, including inpatients, outpatients, ambulatory surgery, emergency department, diagnostic outpatients, labor and delivery, newborns, and lab specimens.
  • Prepare patient estimates, explain liabilities to patients or guarantors, and collect applicable co-payments, co-insurance, deductibles, deposits, and outstanding balances at check-in.
  • Document payments and related actions in the patient accounting system and provide patients with payment 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.
  • When needed, audit and record patient valuables and secure appropriate authorizations.
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