Patient Access Rep - Central Registration

Trinity Health • Mason City, IA

4d

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 helps ensure 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 across multiple settings and patient types, including inpatient, outpatient, ambulatory surgery, emergency department, diagnostic outpatient, labor and delivery, newborn, and lab specimen services.

The representative prepares patient estimates, explains liabilities, collects payments at check-in, documents payment actions in the patient accounting system, and provides receipts. The role also obtains signed physician orders, prepares identification bracelets and patient ID labels, obtains or scans required patient and guarantor signatures, and may audit and record patient valuables and secure authorizations when needed.

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 various settings and for multiple patient types, including inpatient, outpatient, ambulatory surgery, emergency department, diagnostic outpatient, labor and delivery, newborn, and lab specimen services.
• Prepare patient estimates and inform patients or guarantors of their financial liabilities.
• Collect 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 or scan patient and guarantor signatures on required forms, including consent to treatment, assignment of benefits, release of information, and waivers.
• As needed, audit and record patient valuables and secure appropriate authorizations.
• Provide general information to hospital users, patients, families, and physician offices.

What This Job Offers

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