Patient Access Representative
2 weeks ago
Position Objective:
Communicates with patients, medical staff, hospital staff and visitors in a professional manner providing excellent customer service as reflected in AAMCs policies and practices.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
1.Answers the phone following department guidelines, responds to inquiries, and refers all calls as appropriate. Accurately obtains and processes patient demographic, insurance and medical information for registrations, admissions and financial purposes. Demonstrates the ability to identify and register patient accurately into the Master Patient Index thereby reducing erroneous duplicate Medical Records. PAR will be expected to maintain a 98% accuracy rate, in accordance with Best Practice Standards. Demonstrates the ability to act appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting, and terminating coverages. Demonstrates excellence in ensuring patients are provided with necessary regulatory information (i.e. HIPAA, Patient Rights Brochure, IMM, NOOS, ABN, etc.
2.Consistently registers patients face-to-face; communicates financial responsibilities to patients and collects funds accordingly. Independently prioritizes PAR workflow (including, but not limited to, work queue management, patient registrations, insurance verification, and other assigned tasks) to meet deadlines and maximize productivity; Responsible for the daily monitoring and corrections of the department work queue(s). Demonstrates ability to apply technical knowledge in multiple systems, including but not limited to Epic-based applications, Meditech applications, administrative applications (i.e. Outlook, AAMC Intranet, Active Staffer, TimePC, etc.)and necessary online applications (i.e. IXT Copay Collections).
3.Assists with the training and orientation of new staff. Monitors and corrects payroll entries for manager review and completion. Schedules employees via Active Staffer and works collaboratively with the Manager to develop policies and processes for staff self-scheduling utilization.
4.Communicates with patients, medical staff, hospital staff and visitors in a professional manner providing excellent customer service as reflected in AAMCs policies and practices. Maintains ongoing communications with leadership, by reviewing processes, tasks and responsibilities to resolve problems to meet departmental and staffing needs. Collaborates with leadership on activities to include (but not limited to) developing training plans and departmental program changes, enhancements and compliance regulations.
5.Assists with orientation and mandatory re-credential process for compliance of registration functions. Develops training curriculum in collaboration with Manager and manages the employee orientation processes and annual competencies.
6.Participates in team performance reviews.
7.Reports variances to manager to ensure compliance and processes in regards to regulatory agencies. Maintains a thorough understanding of downtime and/or disaster procedures, and effectively demonstrates the ability to perform job functions during such conditions.
8.Troubleshoots equipment problems and maintains supply and inventory. Participates in an expert role, when required, for systems, process, and computer upgrades and improvement.
9.Regularly participates in departmental and collaborative meetings to address and/or to assist in improving registration processes and functions. Participates in developing and/or improving process workflows. Assists in creating and improving processes, policies, SOPs, and workflows.
- Manages critical staffing-shortage calls, as necessary.
Educational/Experience Requirements:
High school diploma or GED.
Five years of previous registration and admissions experience and/or hospital billing.
Excellent verbal and written communication skills.
Demonstrated supervisory skills.
Medical terminology required with 2 years of billing experience preferably in a hospital environment.
Required License/Certifications: Must be a Certified Healthcare Access Associate (CHAA).
Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.
Physical Demands -
Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.
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