Patient Access Rep - Central Registration

Trinity Health•Mason City, IA

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. The representative 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 work takes place in a variety of settings and locations and covers multiple patient types, including inpatients, outpatients, ambulatory surgery, emergency department, diagnostic outpatients, labor and delivery, newborns, and lab specimens. The representative prepares patient estimates, explains liabilities, collects applicable payments, documents transactions, and provides receipts. Additional duties include obtaining physician orders and required signatures, preparing identification bracelets and labels, and potentially auditing and recording patient valuables and obtaining related authorizations. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. A high school diploma or equivalent is required. Hospital registration or insurance verification experience is preferred. Knowledge of medical terminology and diagnostic and procedural coding is required, as is the ability to explain insurance benefits. HFMA CRCR or NAHAM CHAA certification is required within one year of hire.

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 varied settings and locations for multiple patient types, including inpatient, outpatient, ambulatory surgery, emergency department, diagnostic outpatient, labor and delivery, newborn, and lab specimen services.
Prepare patient estimates, explain patient or guarantor financial liabilities, and collect applicable co-payments, co-insurance, deductibles, deposits, and outstanding balances at check-in.
Document payments and actions in the patient accounting system and provide patients with payment receipts.
Ensure patients meet financial requirements, including Medicare medical necessity, payer pre-certifications, and referrals.
Obtain signed physician orders for tests and procedures from physicians or offices.
Prepare patient identification bracelets and patient ID labels.
Obtain and scan patient or guarantor signatures on required forms, including identification and insurance cards, consent to treatment, assignment of benefits, release of information, and waivers.
Provide general information to hospital users, patients, families, and physician offices.
When needed, audit and record patient valuables and secure appropriate authorizations.