Patient Access Representative

4 weeks ago

Chicago, United States Saint Anthony Hospital Full time

The Patient Access Representative is responsible for registering patients in a courteous, professional and timely manner. Conducts patients/guarantor interviews, explains hospital policies, assists patients understand financial responsibilities, and informs patients on bill of rights. Ensures all necessary demographic and financial data is obtained and accurately documented. Contacts insurance payers for verification of eligibility and benefits as needed. Ensures any pre-certification/authorization is obtained, to meet individual payment protocols. Process payments received as necessary. Exhibits a thorough knowledge of registration procedures (e.g. collects, verify and enter patient data: input the admissions information).

Initiates and processes the registration function for all patients entering the organization through the inpatient, outpatient, and emergency departments to include pre-admissions and pre-registration.

**Essential Functions**:

- Enters comprehensive registration data set into hospital system by interviewing patients in person or by telephone to secure demographic, clinical and financial information. Evaluates demographic and financial data for potential problems or financial risk, works to resolve these problems with medical staff, financial counselors, and appropriate administrator on call.
- Communicates with physicians and other medical staff for intake of medical diagnosis or procedures for patient reservations as well as interpreting physician orders for ancillary services. Access the on-line LMRP to check CPT codes against ICD9 codes for medical necessity for all outpatient Medicare patients.
- Coordinates bed assignments with nursing staff to facilitate appropriate placement of patients based on condition/diagnosis.
- Verifies insurance eligibility and primary care physician via telephone or on-line program to initiate precertification or authorization for service.
- Acts as cashier and collects payments from patients and departments. Issues receipts and is responsible to balance individual cash drawer at beginning and end of shift. Process credit card payments on credit card terminal.
- Remains flexible and adapt to variety on the job (e.g., effectively handle unexpected situations and changing conditions
- Maintain confidentiality and privacy of patient information.
- Collaborate effectively with other medical professionals to provide high-quality, comprehensive patient care.

**General Job Requirements**:

- High School Diploma or Equivalent
- Previous admitting or registration work preferred.
- Ability to communicate effectively in both English/Spanish preferred.
- Ability to type a minimum of 35 wpm without errors required.
- Excellent communication skills and customer service skills required.
- Meditech Expanse experience preferred.
- Course work related to medical terminology preferred.
- Experience with healthcare insurance preferred
- Ability to deal tactfully with Associates, patients, visitors, and the general, public.
- Basic computer literacy and keyboarding skills required.
- Effective written and verbal communication skills required.
- Analytical and problem-solving skills required.
- Knowledge of commercial and managed care payors and terminology.

**Saint Anthony Hospital Highlights**:

- Saint Anthony Hospital is an independent, nonprofit, faith-based, acute care, community hospital dedicated to improving the health and wellness of the families on the West Side and Southwest Side of Chicago.
- Saint Anthony Hospital has been certified as a Primary Stroke Center by The Joint Commission.
- Saint Anthony Hospital offers competitive wages and a comprehensive benefits program for employees and their families.
- Saint Anthony Hospital employs and teaches some of the city’s brightest, most innovative resident physicians and medical students.

**EQUAL OPPORTUNITY**

Saint Anthony Hospital is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.

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