Patient Access Representative 24 hours 2nd shift
3 days ago
As a Patient Access Representative at Day Kimball Healthcare, you will play a vital role in ensuring the smooth registration process for patients. Under the direction of the Patient Access Manager, you will be responsible for obtaining and verifying patient demographic information, insurance, and other necessary details for various hospital records. Your excellent communication skills will be essential in informing patients of hospital and regulatory policies, as well as explaining collection practices.
Key Responsibilities- Front-end revenue cycle management by registration of patients for Emergency, Scheduled Outpatient, and Inpatient procedures.
- Extensive knowledge of all insurances, including Medicare, Medicaid, and commercial payors, as well as demographic information that drives the revenue cycle.
- Switchboard operations, including emergency operations procedures.
- Greets patients, relatives, or patient representatives as the communication liaison for patient services and access.
- Responsible for current and new regulatory requirements for state, federal, and commercial payors.
- Understanding and processing of Advanced Beneficiary Notice (ABN) at registration, including explaining the ABN to the patient and obtaining the required signature.
- Completes the Medicare questionnaire for each registration.
- Scans insurance cards and photo identification into the system.
- Ability to recognize identity fraud and notify the appropriate staff.
- Daily bed reporting to the State of CT Bio T prep emergency management system.
- Verifying all patients that are in-house via the midnight census for statistics.
- Releasing bodies from the morgue.
- Notification of inpatient admissions over the weekend to insurance companies that require notification in less than 24 hours.
- Accepts and processes payments for patients as necessary, providing receipts for payments received.
- Knowledge of CPT and ICD9 codes for Advance Beneficiary Notice Software and Pre-cert duties.
- Discuss past due balances with patients and attempts to collect.
- Scrubs accounts for accuracy to deliver clean claims on the back end.
- Calculates prompt pay discounts for co-pay collections.
- Prints all forms for patient's chart and sends to the appropriate area.
- Operates office machines, such as computer terminals, printers, and fax machines.
- Maintains confidentiality at all times and in all situations.
- Answers all incoming calls and transfers to the appropriate person/department in a timely and courteous manner.
- Remains knowledgeable and up to date on all emergency and general functions of the console operation.
- Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
- Maintains professional and cooperative relations with fellow employees, medical staff, physician office staff, patients, and guests to ensure superior customer service.
- Attends departmental and other meetings as requested by the immediate supervisor.
- Demonstrates efforts to maintain and improve job-specific competencies, incorporating new knowledge into practice.
- Participates in performance improvement activities.
- Remains flexible in work schedule to provide the most effective and efficient support for the department and hospital mission.
- High school graduate or equivalent required.
- 2 years of Customer Service experience preferred.
- Knowledge of Healthcare Insurance preferred.
- Knowledge of medical terminology preferred.
- Excellent customer service skills required.
- Computer literacy required.
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Putnam, Connecticut, United States Day Kimball Healthcare Full timeJob SummaryAs a Patient Access Representative at Day Kimball Healthcare, you will play a critical role in ensuring the smooth registration and insurance verification process for our patients. This position requires strong communication and organizational skills, as well as the ability to work effectively in a fast-paced environment.Key...
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Putnam, Connecticut, United States Day Kimball Healthcare Full timeJob Title: Patient Access Representative Job Summary: As a Patient Access Representative at Day Kimball Healthcare, you will play a critical role in ensuring the smooth registration process for patients. Under the direction of the Patient Access Manager, you will be responsible for obtaining and verifying patient demographic information, insurance, and...
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Patient Access Representative
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Putnam, Connecticut, United States Day Kimball Healthcare Full timeJob Title: Patient Access RepresentativeUnder the direction of the Patient Access Manager, the Patient Access Representative is responsible for obtaining and verifying patient demographic information, insurance, and other information for various hospital records. Informs patients of hospital and regulatory policies in regards to patient care and collection...
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Putnam, Connecticut, United States Day Kimball Healthcare Full timeJob SummaryUnder the direction of the Patient Access Manager, the Patient Access Representative is responsible for obtaining and verifying patient demographic information, insurance, and other information for various hospital records. Informs patient of hospital and regulatory policies in regards to patient care and collection practices. Functions as the...
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