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Patient Access Representative Sr

CHI Health Mercy Council Bluffs Council Bluffs, Iowa
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The posted compensation range of $18.06 - $25.51 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-489518 Employment Type Full Time Department Patient Registration Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday 6:45 am - 3:30 pm Remote No Category Administrative and Clerical

Job Summary and Responsibilities

Performs patient registration and admitting functions across assigned hospital access areas, including but not limited to Emergency Department, main registration, admitting, and payer notification workflows. Handles moderately complex registration and encounter scenarios involving insurance verification, benefits review, and patient financial responsibility communication across varied payers or non-standard workflows. Supports operational continuity by flexing across access points and assisting during high-volume or high-acuity periods to ensure timely completion of patient access activities. Serves as an informal resource to less experienced staff and collaborates with internal departments to resolve access-related issues and support workflow efficiency. Engages with the healthcare team and patients/families to identify and address access needs while demonstrating accountability for relationship-based care, organizational mission, and core values.




  • Perform patient registration and admitting functions across assigned hospital access areas, including Emergency Department, main registration, admitting, and payer notification workflows.
  • Handle moderately complex registration and encounter scenarios, including insurance verification, benefits review, and patient financial responsibility communication involving varied payers or non‑standard workflows.
  • Apply judgment within established frameworks to resolve moderately complex discrepancies and determine appropriate escalation of complex or exception‑based issues.
  • Communicate detailed patient financial responsibility, including estimates and coverage limitations, and collect payments at the time of service as appropriate.
  • Support operational continuity by flexing across access points, assisting during high‑volume or high‑acuity periods, and ensuring timely completion of patient access workflows.
  • Serve as an informal resource to PAR I staff by providing guidance on workflows, systems use, and routine problem‑solving, without formal supervisory responsibility.
Job Requirements

Required

  • High School Graduate General Studies, upon hire or
  • High School GED General Studies, upon hire and
  • 1-3 years 1-3 years of experience in patient access, healthcare registration, or a related healthcare administrative role., upon hire and
  • Experience with insurance verification, benefits review, and/or registration workflows required., upon hire

Where You'll Work

At CHI Health Mercy Council Bluffs, patients are at the heart of our care. Our campus is designed to heal the body, mind and spirit of every person in a more comfortable, less stressful hospital environment. Our full range of medical services include a new pavilion featuring enhancements in heart and vascular care, surgery, maternity, cancer care, and diagnostic imaging.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.