Patient Access Representative

4 weeks ago

Gillette, Wyoming, United States Campbell County Health Full time
About Campbell County Health

Campbell County Health is the most comprehensive healthcare provider in the State of Wyoming, certified as an Area Trauma Hospital. Our team includes Campbell County Memorial Hospital, an acute care community hospital in Gillette; Campbell County Medical Group with nearly 20 clinics; The Legacy Living & Rehabilitation Center long-term care center and the Powder River Surgery Center.

Our Benefits
  • 192 PTO hours per year (increases with tenure)
  • Medical/Dental/Vision
  • Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
  • 403(b) with employer match
  • Employee Assistance program
  • Life & AD&D Insurance
  • Employee and Spouse Occupational Health Program
  • Early Childhood Center, discounted on-site childcare
  • And more
Job Summary

As a Patient Access Representative, you will perform detailed and accurate registration of all patients, displaying a broad understanding of third-party reimbursement issues. You will assist ancillary departments with room assignment and transporting of patients, working under the supervision of the Patient Access Supervisor or Administrative Director, Revenue Cycle.

Key Responsibilities
  • Greet and interview incoming patients/relatives to obtain accurate demographic and insurance information
  • Input patient demographic/billing information into computer, obtain patient or responsible party's signature on consents, create face sheets, armbands, labels, and other documents as necessary
  • Communicate to patients the details of consents, filing of insurance, and payment of hospital services, assist patients in understanding hospital billing and collection of payment
  • Collect and scan insurance cards or completed insurance forms from patients, obtain necessary signatures on consent form for treatment according to hospital policies and procedures
  • Obtain payment/co-payments and deposits from patients as appropriate or refer patient to Patient Accounting to make standard payment arrangements
  • Interpret Physician Orders to incorporate up to 9 Service Types and over 31 Service Locations while identifying qualifying requirements for each
  • Interpret Physician Orders to implement correct accommodation codes directly affecting patients charges and appropriate billing for services
  • Provide and incorporate accurate patient status changes directly related to ensuring patient activity/services reflect all Physician/Provider Order Entries
  • Incorporate QAS Address Verification System into each registration to confirm address legitimacy with US Postal Service
  • Incorporate Waystar Insurance Eligibility Product to validate insurance coverage with each registration
  • Initiate, audit, and support Medicare Secondary Payer Questionnaire for all Medicare registrations to ensure compliance and requirements of reimbursement
  • Provide 24/7 Answering Service support to Community Physicians
  • Perform next day audits on all registrations, including ancillary registration areas, to ensure accuracy in registrations, promote positive reimbursement results and reduce overall AR days
  • Distribute registration records each day to appropriate departments and Referring Physicians
  • Cross train in at least two of the four areas of Patient Access (Outpatient Registration, ER, PBX, and/or Pre-Admissions)
  • Contribute to required on-call obligations to help maintain 24/7 coverage in the Emergency room Patient Access area
  • Direct patients to appropriate ancillary departments, coordinate with nursing supervisor and/or Nursing unit to arrange proper bed assignment and transports or arrange for transport of patient to nursing unit
  • Perform receptionist duties while answering telephones, paging overhead/radio, taking messages for doctors and nurses, and contacting physicians for patients or ER Physicians
  • Provide coverage for PBX for breaks, lunches and after hours, perform all functioning duties there during coverage times and daily after 8:30pm, including answering and directing all incoming calls, calling of all codes, accepting payments, and providing information to patients and visitors
  • Operate printer, scanner, credit card terminal and copy machine
  • Maintain confidentiality of all personnel and patient care and relations information
  • Actively participate in Strategic Quality Management for the department and organization, actively participate in Customer/Guest Relations and Mandatory Educations programs
  • Comply with the hospital's Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures
  • Must be free from governmental sanctions involving health care and/or financial practices
  • Other duties as assigned

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