Patient Access Representative

1 month ago


Revere, United States NavitsPartners Full time
Job DescriptionJob Description

Patient Access Representative

Requirements:

  • Must have experience working in a hospital for at least 1 year
  • High school graduate or equivalent.
  • Familiar with the third-party Insurance verification process and regulations.
  • Keypunching experience is required. (Typing (35 WPM) & Computer skills required)

Roles & Responsibilities:

  • Secure additional information from the physician or patient to financially secure the account before releasing the case for final billing.
  • Ensure that clear and consistent memo notations are posted on all actions taken on cases worked. Serves as proof of documentation for follow up needed if case is denied.
  • Refer unsecured cases to management in addition to emailing the service area/physician to initiate follow up on securing the case. (Front End-Admitting/ Physician Offices)
  • Refer underinsured / uninsured cases to Management as well as Financial Counseling Department as appropriate.
  • Continuously refer back to service areas / management any case that does not meet criteria and is at risk for Denial.
  • Notifies the patient of any deposits or financial liability they are required to pay on date of procedure. Enter memo notations of patient notification.
  • Consistent accuracy in data entry a must (correct payer financial class) with a clear memo notation in Eagle to identify all steps taken to secure the services rendered.
  • Refer to Management on all the cases that do not meet standards for patient access clearance.
  • Demonstrate an ability to organize and achieve quality performance with new routines, procedures.
  • Demonstrate an ability to gather and maintain complete, appropriate collection of data to increase the overall efficiency at maximum potential.
  • Consistently demonstrate the ability to recognize, establish and deal with priorities and seeking assistance from management as needed.
  • Maintains accurate reconciliation system for pre-admissions, admissions, and ambulatory surgeries.
  • Possesses knowledge of third-party insurance requirements as relates to in-patient, ambulatory surgery, and the maternity and behavioral health admissions
  • Processes and submit completed accounts in a timely basis according to the departmental needs as required.
  • Listens closely to all the customers' requests and concerns and follows through appropriately.


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