Patient Access Representative I

2 weeks ago


Jackson, United States West Tennessee Healthcare Full time

Category:
Admin Support

City:
Jackson
State:
Tennessee
Shift:

Job Description Summary:
Applicants can be considered for any Status (Full Time or Part Time), Shift (Days, Evenings, Nights, Weekends), and location (Jackson General, Jackson General Emergency Department, Imaging Center, and North Hospital).

This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH's services to patients and families and other external customers. The PAS Representative must be able to articulate information in a manner that patients, guarantors, and family members understand so they know what to expect and have an understanding of their financial responsibilities. This position assumes responsibility for collecting and documenting information on behalf of the patient. The PAS Representative may be responsible for completing the pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity checkas well as interviewing patients and guarantors to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels, coordinating referrals, and obtaining treatment authorizations. The PAS representative will also work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial service

ESSENTIAL JOB FUNCTIONS:

  • Process - Maintains the best practice routine per department guidelines.
  • Daily work queues are maintained at acceptable levels according to department policies.
  • Correspondence worked daily to current.
  • Registration - Performs financial clearance process by interviewing patients and collecting and recording all necessary information for pre-registration and registration of patients.
  • Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
  • Verifies relevant group/ID numbers.
  • Completes the registration process according to established policies and procedures.
  • Informs families with inadequate insurance coverage regarding financial assistance through government and financial assistance programs.
  • Performs initial financial screening and refers accounts for financial counseling and/or appropriate eligibility assessments.
  • Ensures all referrals and treatment authorizations for all patient types have been obtained according to the outlined requirements.
  • If not obtained, contact payers for approvals.
  • Completes initial medical necessity checks.
  • Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.
  • Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
  • Maintains accurate files for pre-processing information as required.
  • Investigates, resolves, and documents patient problems in a timely and efficient manner.
  • Maintains accurate files for pre-processing information.
JOB SPECIFICATIONS:

EDUCATION:
  • High School Graduate, or equivalent
LICENSURE, REGISTRATION, CERTIFICATION:
  • N/A
EXPERIENCE:
  • 1-2 years of health care or related experience preferred.


NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

  • Jackson, United States West Tennessee Healthcare Full time

    Job Description Summary :This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH’s services to patients and families and other external customers. The PAS Representative must be able to articulate information in a manner that patients, guarantors, and family...


  • Jackson, United States West Tennessee Healthcare Full time

    Job Description Summary :Applicants can be considered for any Status (Full Time or Part Time), Shift (Days, Evenings, Nights, Weekends), and location (Jackson General, Jackson General Emergency Department, Imaging Center, and North Hospital). This position is responsible for completing the financial clearance process within Patient Access Services and...


  • Jackson, United States Franciscan Missionaries of Our Lady Health System Full time

    Job DescriptionThe Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash....


  • Jackson, United States Franciscan Missionaries of Our Lady Health System Full time

    Job Description The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of...


  • Jackson, United States University of Mississippi Medical Center Full time

    Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: * Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have...


  • Jackson, United States Healthier Mississippi People (HMP) Full time

    Job DescriptionJob DescriptionDescription:Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amountsdue from...


  • Jackson, United States Center for Family Health Full time

    We currently have an open position for a Patient Service Representative. This is an hourly, non-exempt full-time position.The Center for Family Health is a Federally Qualified Health Center (FQHC) located in Jackson, Michigan. We are a multi-specialty clinic with practitioners specializing in the areas of Family Medicine, Internal Medicine, Pediatrics, and...


  • Jackson, United States Center for Family Health Full time

    We currently have an open position for a Patient Service Representative. This is an hourly, non-exempt full-time position. The Center for Family Health is a Federally Qualified Health Center (FQHC) located in Jackson, Michigan. We are a multi-specialty clinic with practitioners specializing in the areas of Family Medicine, Internal Medicine, Pediatrics, and...


  • Jackson, United States Center for Family Health Full time

    Job DescriptionJob DescriptionWe currently have an open position for a Patient Service Representative. This is an hourly, non-exempt full-time position.The Center for Family Health is a Federally Qualified Health Center (FQHC) located in Jackson, Michigan. We are a multi-specialty clinic with practitioners specializing in the areas of Family Medicine,...


  • Jackson, United States Healthier Mississippi People (HMP) Full time

    Job DescriptionJob DescriptionDescription:Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amountsdue from...


  • Jackson, United States Healthier Mississippi People (HMP) Full time

    Job DescriptionJob DescriptionDescription:Job Description: To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amounts due from...


  • Jackson, United States West Tennessee Healthcare Full time

    Job Description Summary :This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts, cash application and reconciliation and/or resolving customer service issues. This position requires basic understanding of the Revenue Cycle and the importance of evaluating and...


  • Jackson, United States University of Mississippi Medical Center Full time

    Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted...


  • Jackson, United States University of Mississippi Medical Center Full time

    Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: * Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have...


  • Jackson, United States University of Mississippi Medical Center Full time

    Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: * Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have...


  • Jackson, United States Franciscan Missionaries of Our Lady Health System Full time

    Job Description Customer Service Promptly answers inquiries from patients, co-workers, and employees regarding patient accounts in a kind and courteous manner. Assists in providing quality training and orientation for assigned employees. Payer Relations Advises patient or guarantor of third party payer benefits and estimated private payer amount and collects...


  • Jackson, United States University of Mississippi Medical Center Full time

    Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted...


  • Jackson, United States Henry Ford Health System Full time

    Provides evidence-based care to patients that are mentally ill and/or with substance use disorder in the emergency department and inpatient medical unit settings through clinical assessment, coordination of care, and disposition planning. Collaborates as a multidisciplinary team to effectively treat and care for this patient population....

  • Clinician, Access,

    2 days ago


    Jackson, United States Lifeways Full time

    General Summary: Under the direction and guidance of Department Supervisor the Clinician position provides culturally competent and trauma informed services to all consumers seeking access to behavioral health services through LifeWays. This person utilizes established criteria, Level of Care determination tools, and clinical skill to evaluate individuals...


  • Jackson, Mississippi, United States Mercy Full time

    We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...