Patient Access Representative
3 months ago
Job Description
Full-Time, 40 hours per week.
This position is a rotational shift involving all 3 shifts with a primary focus on evenings.
MAIN FUNCTION:
Responsible for the registration of all patients accessing services at System with emphasis on patient access/satisfaction, insurance/demographic verification and accuracy, and point of service collection, while maintaining confidentiality, professionalism and ethics continuously.
DUTIES AND RESPONSIBILITIES:
1. Is responsible for accurate registration of all System patients while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing.**
2. Is responsible for distribution of patient related materials and obtaining patient or designees signature on all necessary consents, permits, financial forms, as well as charity application, when applicable.**
3. Is responsible for collection of patient owed cost sharing amounts (copays, deductibles, coinsurance, full costs {non-covered/self-pay}) in accordance with Service Standards as well as referring patient to financial assistance department, when applicable. End of day cash out procedure applies. Documentation of all collection of co-pays is mandatory.**
4. Is responsible for order entry, including but not limited to Observation, Laboratory, Radiology, Therapy and/or Physicians services as applicable to assigned area. Proper reconciliation of appropriate ordered services may require contact with applicable department. Reconciliation is required to be conducted timely & accurately with zero lose in revenue to System.**
5. Is responsible for acquiring precertification status on all applicable services, such as Same Day Surgery Accounts, Outpatient Radiology & Cardiology Tests, and/or Physician Services, or Pharmacy Services.**
6. Coordinates with Nursing Services/Designee the efficient use of available beds, including inpatient, observation and skilled, while adhering to appropriate registration/order entry standards.**
7. Coordinates centralized scheduling for System using applicable databases. Ensures proper department/physician has relative information and assists with maximizing schedule capacity.**
8. Is responsible for utilizing insurance verification tools to accurately verify patients insurance information and maintaining error rate in accordance with Service Standards.**
9. In certain circumstances, Employee may function as the primary Switchboard Operator during shift. Responsibilities shall include but not be limited to, answer all incoming/inside telephone calls and direct public to appropriate areas, coordinate codes, as applicable and maintain clergy file, when needed.**
10. In certain circumstances, mail distribution, mail preparation, inventory, re-stocking and chart retrieval responsibilities may be required.**
11. In order to provide the highest quality of care to our patients, individuals may be required to work beyond normal scheduled shifts and will be required to comply with the Systems attendance policy.**
12. Employee will assist in staff training of peers, colleagues and management, as applicable/requested.
13. Employee is required to comply with all then-current and future policies and procedures and report directly to the Supervisor, Patient Registration.
14. Employee is responsible for attending all mandatory educational, compliance and safety programs as required by position.
15. Employee understands and demonstrates the importance of satisfying the needs of the patient/customer by interacting with him/her in a friendly and caring way, being attentive to the customers needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience throughout the System.
16. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned.
Education:
High school diploma or equivalent.
Experience:
A minimum of six months prior healthcare, finance, collection or billing experience preferred. Experience with computer applications required. Medical terminology and coding experience beneficial.
EXPECTATIONS:
Setting daily goals (keeping a goal sheet).
Submit ideas/revisions if daily goals are not met.
Education and training are mandatory.
Accountability.
Requirements:
Good interpersonal skills; able to related well with a wide cross-section of professionals, patients and others in System. Must be polite, courteous and trustworthy in safeguarding confidential information.
Physical Demands:
Light physical activity. Emergency room environment (as applicable). Patient interaction with sitting, walking and computer usage required.
Exposure Category:
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment.
** A.D.A Essential Functions
Requirements
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