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Patient Access Rep I

3 months ago


Gallatin, United States Highpoint Health - Sumner Full time
Job Description

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.

Reports to: Patient Access Supervisor

Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.Drag Edit DeleteDistributes and explains forms, documents, and educational handouts to patients or family members.Drag Edit DeleteMeets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.Drag Edit DeleteCommunicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.Drag Edit DeleteMaintains current knowledge of all rules and regulations governing third party admissions/registrations and pre-certification requirementsDrag Edit DeleteVerifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles and out-of-pocket amounts.Drag Edit DeleteVerifies precertification/authorization on file matches test/procedure/services being performed.Drag Edit DeleteMaintains an acceptable registration error rate & collections goal.
Minimum Education
High school diploma or equivalent - RequiredDrag Edit DeleteMinimum Education
Two years college or medical office specialist education - PreferredDrag Edit DeleteRequired Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to function appropriately in a multi-task setting. General understanding of medical terminology and medical insurance.Drag Edit DeleteRequired Skills
Certifications:
BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) - Required within 90 days of hire, if not current upon hire.Drag Edit DeleteMinimum Work Experience
2 years experience in hospital patient access/registration or medical office with emphasis on medical insurance and collections/accounts receivable - Required
Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran