Patient Access Representative
4 months ago
The Patient Access Representative inspires trust in and offers comfort to patients and families while facilitating access to medical care through the timely and accurate registration of all patients. Collaborates and communicates with physicians and care departments to facilitate patient flow and personalize the patient experience.
Required Behaviors:
•As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.
Required Qualifications:
•High school diploma or equivalent
•Keyboard skills, typing of 35 wpm, accuracy implied
•Ability to operate a computer and other office equipment (copy machines, scanners, fax machines, etc.)
•Prior experience in data entry and the ability to enter information accurately into computer
•Ability to communicate clearly and effectively in English
•Ability to set priorities in dealing with multiple demands and interruptions
•Ability to obtain necessary personal and financial information from patients who are ill and/or under stress
•Ability to work effectively with a team of varying personalities and cultures
•Excellent customer service skills
•Willingness to ask patients for co-payments and deposits, as appropriate
•Flexibility in schedule to accommodate the needs of the patients and the department
Preferred Qualifications:
•Some post high school education
•Knowledge of medical terminology
•Knowledge of third-party payers, billing requirements, and reimbursement methods
•Prior experience in working in patient registration or a related healthcare field
•Advanced keyboard and computer skills
•Ability to communicate effectively in a second language such as Navajo or Spanish
Duties and Responsibilities:
•Accurately obtain, input, scan, and distribute all necessary information related to a patient's registration for inpatient, emergency, and outpatient services, in order to create and maintain an accurate medical record for the purpose of treatment and billing
•Ensure all scheduled patients are pre-registered and pre-register other patients when possible. Department goal for pre-registrations as a percentage of scheduled patients is 100%
•Verify the accuracy of information on all pre-registered patients upon arrival, and make appropriate corrections to the system as necessary to ensure accurate records
•Ensure timely access to care by responding promptly to registration requests received by phone, fax or in person
•Verify eligibility at the time of pre-registration or registration according to policy. Department goal is to verify 100% of inpatients and DSU patients and 100% of outpatients with certain insurances
•Follow managed care procedures, as applicable, to obtain authorizations for services in order to ensure payment and minimize denials
•Clearly explain all required forms to patients and obtain their signatures
•Provide excellent customer service by appropriately greeting and responding to inquiries from patients, visitors, and physicians and directing patients and visitors to their destinations
•Maintain an acceptable level of registration accuracy as defined by the department's Quality Assurance goals
•Go to patient rooms and obtain signatures on all required forms for direct admits and/or when a form is missing
•Maintain all department logs, reports, and records
•Attend monthly department meetings, in-service training, and other meetings as required to maintain professional growth and/or comply with hospital policy
•Each employee is responsible for implementing SJRMC's Service Standards into their daily work:
Safety, Courtesy, Effectiveness, and Stewardship
•Other duties as assigned
Physical Demands, Environmental Work Conditions, and Sensory Requirements:
•Must be able to walk, sit, and stand for long periods of time
•Ability to withstand frequent exposure to ill patients
•May need to work alongside caregivers in unpleasant or stressful situations, such as emergency conditions of patients, angry or upset families involved in death and/or graphic injuries
•Vision and hearing acuity within normal range
San Juan Regional Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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