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Patient Access Representative

2 months ago

Lakewood, United States Ocean Health Initiatives Full time
Job DescriptionJob DescriptionPosition Summary

Reporting to Regional Practice Director and Practice Site Coordinators, the Patient Access Representative (PAR) is responsible for all patient registration, accurate documentation and data entry, financially related data collection and maximizing productivity. The PAR is a key contributor to the overall patient's experience and will maintain a high level of customer service during the patients' visit to Ocean Health Initiatives.

This is not a remote role. In person only.

Responsibilities

Customer Service

  • Interacts with patients, leaving them with a positive experience.
  • Continuously demonstrates a professional demeanor when engaging patients and all Health Center visitors.
  • Engages all OHI staff and patients with a positive approach.
  • Works in an organized, efficient manner to keep a smooth and orderly flow of patients moving from registration to discharge.

Registration and Documentation

  • Pre-register patients for their appointment by reviewing, prepping the appointment and confirming appointment. [ND1]
  • Obtain consent for Family Planning, medical treatment, patients signature confirming/accepting receipt of patients’ privacy notice, HIPPA rights, medication history, NJIIS consent, and financial responsibility.
  • Screens all patients for the marketplace/NJ family care for presumptive eligibility.
  • Screens all patients for NJCEED eligibility, complete intake, and consent form for eligible patients.
  • Sends NJCEED documentation for all eligible patients.
  • Completes a Household Assessment (HHA) on all OHI patients regardless of insurance status:
    • Ensures that all necessary fields are completed and that all required OHI/Letter of Agreement (LOA) documents are collected for all household members.
    • Follow up via phone calls/email/Text message, with incomplete HHA applicants to ensure all required documents are collected prior to the 2nd visit.
    • Collects and inputs all required HHA documents utilizing the print document barcode (barcode-sandwich) or electronically uploading and labeling the document following the approved OHI abbreviation.
  • Completes Advance Directives section as outlined in the policy.
  • Ensure all insurance information is captured correctly and update insurance information as needed. [ND2]
  • Verify insurance eligibility to ensure active coverage on the date of service by utilizing Athena’s eligibility module, Payer’s Website and/or Phone.
  • Verifies insurance primary care provider (PCP) is an OHI Provider and completes a PCP change form if this is not the case utilizing the Athena chart export.
  • Obtains necessary patient release forms in accordance with patient confidentiality and medical records policy.
  • Verifies all documents are accurately completed and signs full legible name when PAR signature is required.
  • Accurately complete the required data entry for NJIIS.
  • Ensure that patient demographics are updated by utilizing Phreesia at every visit or the daily patient demographic form when Phreesia is not an option.
  • Works towards improving key performance indicators for the site.

Data Entry

  • Accurately completes all required data in Athenahealth, to include UDS reporting measures, email, and emergency contact.[ND3]
  • Accurately completes all required data in Intergy.
  • Maintains a proper file system for proper organization of work.
  • Collects and adds the inbound transition documents as needed.

Financial Responsibility

  • Collects patient’s co-pays and fees for services rendered as assigned by the completed HHA and sliding fee scale, and accurately applies the co-pay to the appropriate visit and provides patient with a receipt.
  • Verify all outstanding balances with billing. Review verified balance with patient, collect payments, and/or create payment plans as needed.
  • Ensures daily cash and credit card collection is reconciled with Athenahealth/Intergy reconciliation report.
  • Follows the end of day procedure policy to prepare daily deposits.
  • Follows the cashbox policy to assure the PAR assigned cashbox is reconciled daily.

Patient Engagement

  • Registers the patient for the EMR patient portal. Demonstrates portal functionality, provides education, illustrating the ease of communication between patient and care team and strongly encourages patient to access their protected health information (PHI).
  • Participates in ongoing quality initiatives.
  • Provides all necessary documents and ensures documentation in the chart is updated with accurate information.
  • Assists walk-in patients to achieve a positive outcome adhering to walk-in protocols.
  • To maximize productivity, review daily provider schedules and add appointments for telehealth, walk-ins, and follow-ups as needed.
  • Is responsible for following the medical records procedure when records are requested.
  • Collects and sends newborn documents to Medicaid as needed.
  • Is responsible for the scanning of all patient documents into their chart as needed.

Competencies

  • Maintains an in-depth working knowledge of all technological operation systems including the EMR to ensure operational effectiveness.
  • Participates in daily huddles with clinical teams. Adheres to organization policies and procedures.
  • Attends all mandatory in-services and meetings required by administration.
  • Constantly strives to achieve excellence in day-to-day operations of respective department.
  • Completes all mandatory in-services in a timely fashion.
  • Adheres to Corporate Compliance Policies.
  • Maintains a level of attendance to meet the organization’s needs as measured by total tardiness and call outs.
  • Completes all reports as assigned by Practice Site Manager in a timely fashion.
  • Reports any equipment problems through the IT request portal.

Education/Experience/Licensure

  • High School diploma or equivalent is required.
  • One to three years of experience in an applicable healthcare setting is preferred.
  • One to two years’ experience using an EMR system is preferred.
  • Professional verbal and written communication skills is required.
  • Proficiency in Microsoft Office 365 is required.

Benefits:

  • Paid Time Off (PTO)
  • Holidays (9)
  • Health Insurance
  • Dental Benefits
  • 401(k) + match
  • Group Term Life Insurance
  • Flexible Spending Account

Pre-Employment Requirements:

  • Physical
  • Criminal Background Checks
  • Drug Screening
  • Tuberculosis Screening

Ocean Health Initiatives is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants. Therefore, Ocean Health does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.

In accordance with New Jersey Executive order (COVID-19 No.283) in conjunction with the Federal CDC guidelines, COVID vaccinations are a requirement for Ocean Health Initiatives as well as many other Healthcare Organizations. Proof of full vaccination and the booster shot is required prior to the beginning date of employment. If you have a medical or religious contraindication, please inform Human Resources when the offer is extended