Patient Access Rep - Part Time/Nights

Trinity Health•Mason City, IA

11d

About The Position

The Patient Access Rep 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 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 may 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 representative prepares patient estimates, explains liabilities, collects payments at check-in, documents transactions, and provides receipts. Additional duties include obtaining signed physician orders, preparing identification bracelets and labels, obtaining and scanning required signatures, and potentially auditing and recording patient valuables while securing authorizations when needed. The schedule is Monday and Thursday nights, 1830–0700.

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

Provide patient-focused customer service and general information to hospital users, patients, families, and physician offices.
Perform outpatient and/or inpatient registration and insurance verification.
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 across a variety of settings and patient types.
Prepare patient estimates and explain financial liabilities to patients or guarantors.
Collect co-payments, co-insurance, deductibles, deposits, and outstanding balances at check-in; document payments and actions in the patient accounting system and provide receipts.
Ensure patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals.
Obtain signed physician orders for tests and procedures.
Prepare identification bracelets and patient ID labels.
Obtain and scan patient or guarantor signatures on required forms, including consent to treatment, assignment of benefits, release of information, and waivers.
May audit and record patient valuables and secure appropriate authorizations when needed.