Patient Access Representative

3 weeks ago

Corpus Christi, United States Driscoll Children's Hospital Full time

Patient Access Representative Apply to locations: Corpus Christi, TX Time Type: Full time Posted on: Posted 3 Days Ago Job Requisition ID: JR107672 Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team Please review the job information below. General Purpose of Job: This position reports to the Central Patient Access Supervisor. This position is responsible for the support functions necessary to accomplishing the objective of the service department. These include, but are not limited to functions under the categories of: referral creation, insurance verification, authorization procurement, pre-service patient contact and documentation of actions taken to collect out of pocket expenses. Exercising appropriate age-specific communication skills and safety practice when interacting with customers, patients, and families. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Maintains utmost level of confidentiality at all times. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Adheres and complies with customer service standards and dress code as set forth by the hospital and the department. Customer Service Duties: Answers the department telephone immediately or within three rings utilizing courtesy and patience. Listens to customer needs and takes appropriate action as indicated. Responds to urgent emails and voicemails promptly. Gathers patient demographic and financial information in a kind and courteous manner. Documents telephone encounters. Calls patients to confirm appointment times and offer any other pertinent information such as out of pocket expense, education, directions, parking information, etc. Conducts warm transfers as needed. Places outbound calls to referring providers or guardians (for self-referrals) to obtain missing and validate existing information. Facilitates referral intake. Attempts to reach patient guardian to communicate any pre-visit instructions as necessary. Completes any additional ancillary tasks. Patient Accounting Duties: Accurately creates patient encounter in patient accounting systems utilizing the appropriate patient search criteria and interview method. Verifies patient’s insurance benefit and documents findings, this process should be completed in the appropriate timeframe for the service being provided. Refers cases for financial screening as indicated. Completes all authorization procurement work functions as indicated. Accurately collects and enters patient demographics into patient accounting systems as indicated. Populates referral data elements into Epic Referral Record as indicated. Completes all pre-service work functions on items in the Epic workqueue in accordance with defined policies and procedures. Completes documentation in Epic according to Driscoll Health System and department documentation guidelines. Collects, submits and files documents as appropriate. Quality Assurance Duties: Reviews schedule/pre-registrations/registrations to identify potential duplicate medical record numbers. Updates data discrepancies in Epic. Identifies patients with multiple same day visits to match demographic and insurance data for each pre-registration. Reviews patient demographic and financial data to ensure accuracy. Validates verification and documentation of insurance eligibility and coverage for anticipated procedures. Validates insurance authorizations were obtained from referring physicians and payors when necessary/appropriate. Reviews pre-registration list for cancellations and notifies department as indicated. Identifies patients that are missing any pre-registration items. Checks for referral minimum data set elements. Patient Financial Duties: Reviews documented notes for payment requirements; explains insurance benefits as quoted to us by their insurance carrier, and collects patient’s out of pocket expenses. Determines if patient is responsible for any payment of service and documents how payment is calculated and received. Refers cases for financial screening as indicated. Prepares hospital receipt for payment received. Validates address and phone number. Ensures all paperwork is complete and all documents are correctly filed or attached to patients record. Cashiering Duties: Cash box will be in balance at all times. Payments received will be receipted and accounted for at all times. Education and/or Experience: High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Driscoll Children’s Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll’s approach to treating children as is its advanced medical treatments and technologies. The core values at Driscoll Health System are: Compassion, Advocacy, Respect, Excellence, and Stewardship. These values are exemplified through every position - from treating the most critical patients hands-on, to maintaining a clean environment, to keeping the organization running from behind the scenes. We invite you to learn about Driscoll’s rich history and explore the laidback lifestyle South Texas has to offer. #J-18808-Ljbffr

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