Patient Access Representative
1 month ago
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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