Patient Access Representative PCC

4 weeks ago


Syracuse, New York, United States Trinity Health Full time
Job Summary:

The Patient Access Representative plays a crucial role in the revenue cycle by accurately processing patient data, ensuring compliance with insurance requirements, and maintaining current knowledge of payor insurance needs. This position requires two years of medical office or customer service experience and involves interacting with medical staff, patients, and vendors. The ideal candidate will possess excellent communication skills, basic mathematical skills, and the ability to work in a clinical setting.

Key Responsibilities:
  • Acquire, enter, and update patient registration information into the Eclipsys system, verifying accuracy of data.
  • Provide information related to billing, compliance, patient rights, and HIPAA.
  • Verify patient insurance coverage and obtain authorizations for the patient's stay.
  • Refer non-insured patients to the financial counselor.
  • Request and collect co-pays, deposits, and issue receipts at the time of payment.
  • Communicate with medical and clinical personnel regarding patient access, interfacility transfers, discharge processing, reimbursement issues, authorization requirements, surgical, and diagnostic orders.
  • Accurately index patient information to the HPR and interact with IS, HIM, ASR's to ensure optimal information flow and resolve inaccuracies and discrepancies.
  • Intake MD requests for patient admission, coordinate assignment of patients to beds, maintain accurate bed-board status, and compile daily census.
  • Perform other clerical tasks to support the supervisor, such as QA-related audits.
  • Participate in the development of the work schedule to accommodate patient flow and meet departmental needs.

Requirements:
  • Two years of medical office or customer service experience.
  • Participation in orientation, patient access training program, and continuing education.
  • Updates and maintains knowledge and skills related to specific areas of expertise.
  • Word processing skills, PC experience, basic mathematical skills, effective verbal and written communication, and human relations skills.
  • Related experience in hospital registration, Eclipsys, or PHS/HPF and knowledge of medical terminology preferred.

Work Environment and Hazards:
  • Clinical Setting.
  • Exposure Class I or II; service-specific.

Physical Demands:
  • Sedentary work: standing, walking, and sitting for prolonged periods of time.
  • Repetitive motion of hands, fingers, and wrists.

Work Contact Group:
  • All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.

Supervised By:
  • Patient Access Coordinator.

Supervises:
  • Not applicable.

Career Path:
  • Level 2, Level 3 Patient Access Representative; Coordinator, Manager.

Pay Range:
  • $17.00-$23.60.


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