Patient Access Representative II

1 week ago

Atlanta, United States Emory Healthcare Full time

Overview:

At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. Were empowered to influence change for, and with, our patients, their families, the community and each other.

As one of the leading academic medical systems, were eager to share what we learn with hospitals around the country, and the world. Weve got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.

Were defining a new standard of care for humankind. Are YOU ready to join us?

Description:

JOB DESCRIPTION:

  • A Patient Access Rep II will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
  • The representative will ensure patient insurance verification is accomplished and all requirements are met.
  • Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies. Calls patients to pre-register or confirm appointments.
  • A Patient Access Rep II prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital.
  • Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
  • Identifies patients who require early financial counseling intervention.
  • Ensures all uninsured patients are referred to a financial counselor as appropriate.
  • A Patient Access Rep II will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.
  • Maintains confidentiality of patient information, employee information and other information covered by regulations or professional ethics.
  • Performs duties in support of the EHC Patient Access Mission Statement. Position requires self-motivated individual with demonstrated ability in time management who can handle high patient volumes and fast pace.
  • Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
  • Maintains knowledge of multiple department system applications utilized by Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
  • Effectively communicates identified issues and concerns in a constructive and professional manner.
  • Participates in generating ideas and solutions for improvements.
  • Responds in a timely and appropriate way to verbal and written requests.
  • Accurately searches the database to establish if patient is new or an established patient.
  • Obtains required signature for release of information in a timely manner, adhering to policy and procedures.
  • Completes registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient.
  • Reconfirms date of birth and legal spelling of the patients name.
  • Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).
  • Scans patient id and insurance cards.
  • Makes every attempt to collect patient liability as appropriate and documents the response if not collected.
  • Appropriately distributes registration paperwork according to departmental procedures.
  • Schedules procedures/follow-up appointments.
  • Communicates hospitals financial policies to all patients. Call patients to pre-register or confirm appointments.
  • Maintains appropriate monthly assurance accuracy rate as determined by the department.
  • Maintains established departmental standards regarding productivity, quality, and collections.


MINIMUM QUALIFICATIONS:

  • High school diploma or equivalent.
  • Must have at least 2 years healthcare related or customer service experience.
  • Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
  • Associate or bachelor degree may be accepted in lieu of experience.
  • Certified Healthcare Access Associate (CHAA) preferred.
  • Typing skills with a minimum of 35 wpm and good communication skills.


PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details:

Salary range $15.95-$27.70

The grade and salary of the position are based on specific criteria met within the qualifications of each level, relevant experience, skills, performance and internal equity. This position is eligible for shift differentials

  • Patient Access Representative II

    5 days ago

    Atlanta, United States Emory HealthcareEmory University Full time

    Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    4 weeks ago

    Atlanta, United States Emory HealthcareEmory University Full time

    Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    1 week ago

    Atlanta, United States Emory HealthcareEmory University Full time

    **Overview** At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We're empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    4 weeks ago

    Atlanta, United States Emory HealthcareEmory University Full time

    Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    2 weeks ago

    Atlanta, United States Emory HealthcareEmory University Full time

    Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    2 weeks ago

    Atlanta, United States Emory HealthcareEmory University Full time

    **Overview** At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We're empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Rep II

    2 weeks ago

    Atlanta, United States CareerBuilder Full time

    Overview At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. Were empowered to influence change for, and with, our patients, their families, the community and each other. As one of the...

  • Patient Access Representative

    1 week ago

    Atlanta, Georgia, United States Emory Full time

    Be inspired.Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.We provide:Comprehensive health...

  • Patient Access Representative

    2 weeks ago

    Atlanta, United States Emory HealthcareEmory University Full time

    Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We...

  • PRN Patient Access Representative

    1 week ago

    Atlanta, Georgia, United States Emory Healthcare Full time

    Overview:Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to beWe provide:Comprehensive...

  • Patient Services Rep II

    3 weeks ago

    Atlanta, United States ORTHOATLANTA, LLC Full time

    Job DescriptionJob DescriptionDescription:The Patient Service Representative II is responsible for a variety of administrative functions and patient care activities in support of the clinic to include – checking-in/out patients, collecting co-pays, verifying insurance, scheduling appointments and assisting clinical staff to provide support for the...

  • Patient Access Associate

    2 weeks ago

    Atlanta, United States Piedmont Healthcare Full time

    Description: **RESPONSIBLE FOR**: Serves as patient facing support for the Patient Access Department within Piedmont Healthcare. Ensures patient accounts are complete with valid insurance coverage and current demographic/clinical data. Calculates patient financial responsibility, presents patient financial options/requirements and processes patient payments....

  • Patient Access Supervisor

    2 months ago

    Atlanta, United States Grady Health System Full time

    taleo-core-ng.jobs.details.job_description Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding career at Grady! SUMMARY The Patient Access Supervisor is responsible for the intake process and activities of the...

  • Patient Access Supervisor

    3 weeks ago

    Atlanta, United States Grady Health System Full time

    taleo-core-ng.jobs.details.job_description Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding career at Grady! SUMMARY The Patient Access Supervisor is responsible for the intake process and activities of the...

  • Patient Access Specialist

    3 weeks ago

    Atlanta, United States Spectraforce Technologies Full time

    Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share...

  • Patient Access Specialist

    4 weeks ago

    Atlanta, United States Spectraforce Technologies Inc Full time

    Title: Patient Access Specialist Location: Remote Duration: 3+ month’s Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share...

  • Patient Access Specialist

    4 weeks ago

    Atlanta, United States Spectraforce Technologies Inc Full time

    Title: Patient Access Specialist Location: Remote Duration: 3+ month’s Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share...

  • Patient Access Specialist

    3 weeks ago

    Atlanta, United States Spectraforce Technologies Inc Full time

    Title: Patient Access Specialist Location: Remote Duration: 3+ month’s Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage, payer restrictions, and cost share...

  • Patient Access Specialist

    4 weeks ago

    Atlanta, United States Dermatology Consultants, P.C. Full time

    Job DescriptionJob DescriptionWhere Health Meets Beauty!Dermatology Consultants, P.C. is a full service state-of-the-art dermatology practice that offers medical, surgical, cosmetic and aesthetic dermatology in three beautiful locations – Buckhead, Covington and Decatur. Dermatology Consultants is currently hiring Patient Access Specialist to join our...

  • Patient Access Specialist

    3 weeks ago

    Atlanta, United States Dermatology Consultants, P.C. Full time

    Job DescriptionJob DescriptionWhere Health Meets Beauty!Dermatology Consultants, P.C. is a full service state-of-the-art dermatology practice that offers medical, surgical, cosmetic and aesthetic dermatology in three beautiful locations – Buckhead, Covington and Decatur. Dermatology Consultants is currently hiring Patient Access Specialist to join our...