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Patient Access Representative

3 months ago

Uniontown, United States Cleveland Clinic Full time

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

The Patient Access Representative is responsible for registering, scheduling and preregistering patients for inpatients, emergency and outpatient tests and procedures. The Representative will educate patients regarding their benefit levels and will request, collect and record payments prior to or at time of service. Ensures a seamless model of access for patients, physicians and family members.

The ideal future caregiver is someone who:

  • Has at least 2 years of customer service experience.

  • Is patient, kind and friendly.

  • Effectively manages their time and pays attention to details.

  • Is a quick and hands-on learner.

  • Demonstrates a strong work ethic.

This position offers growth within the department and organization and opportunities for professional development and learning to help you be successful in your career.

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.

Responsibilities:

  • Performs registrations by completing an accurate face to face interview to obtain demographic, insurance, medical and financial information.

  • Performs preregistration for diagnostic testing and surgeries by contacting the patient via phone and completing an accurate interview to obtain demographic, insurance, medical and financial information.

  • Schedules services and provides physician office/patient accurate date and time information, realizing room availability, physician availability, typical time needed to completion of procedure, and procedures that conflict with each other. Completes procedure specific questionnaires as needed to assist clinical departments to prepare for patients.

  • Reviews eligibility response to assess patient's benefit level. Prepares patient estimates either using software or following established policies and procedures. Advises patients of out-of-pocket expenses and collects payment. Applies payments and discounts in accordance with established procedures. Maintains security of payments in accordance with established policies and procedures.

  • Utilizes screening tool for self-pay patients to determine any possible payer source. Refers patients to Financial Counselors in accordance with established policies and procedures.

  • Advises patients of, and generates Advanced Beneficiary Notice (ABN) and/or Assumption of Financial Responsibility (AFR) form as appropriate.

  • Obtains, scans, and indexes physician orders

  • Cross trained to staff all areas of Patient Access

  • Maintains productivity and quality standards for all areas of responsibility.

  • Maintains open communication with physicians and their offices, patients, and ancillary areas in the facility.

  • Acts as a resource for training of new team members and during implementation of new processes.

  • Completes annual on-going competency requirements. Attends continuing education programs and completes mandatory training in order to maintain certification/licensure, department specific requirements and professional growth.

  • Follows System and departmental policies and procedures with special attention to attendance, punctuality, confidentiality, dress code and display of ID badge and safety.

  • Other duties as assigned

Education:

  • High school graduate or the equivalent.

Certifications:

  • None required

Complexity of Work:

  • Knowledge of medical terminology

  • Competent with computer software including practice management systems and windows applications

  • Must be proficient in Data Entry

  • Ability to add, subtract, multiply, and divide

Work Experience:

  • One year work experience with customer service.

  • One year hospital clerical or billing preferred.

  • Higher education and training can offset requested work experience.

Physical Requirements:

  • Ability to communicate and exchange accurate information.

  • Ability to perform work in a stationary position for extended periods.

  • Ability to work with physical records or operate a computer or other office equipment.

  • In some locations, ability to travel throughout the hospital system.

  • In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities