Patient Access Representative

7 days ago

Tallmadge, Ohio, United States Cleveland Clinic Full time
About the Role

Cleveland Clinic is seeking a highly skilled Patient Access Representative to join our team. As a Patient Access Representative, you will play a critical role in ensuring a seamless patient experience from registration to discharge.

Key Responsibilities
  • Perform registrations by completing accurate face-to-face interviews to obtain demographic, insurance, medical, and financial information.
  • Perform preregistration for diagnostic testing and surgeries by contacting patients via phone and completing accurate interviews to obtain demographic, insurance, medical, and financial information.
  • Schedule services and provide 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.
  • Complete procedure-specific questionnaires as needed to assist clinical departments to prepare for patients.
  • Review eligibility response to assess patient's benefit level.
  • Prepare patient estimates either using software or following established policies and procedures.
  • Advise patients of out-of-pocket expenses and collect payment.
  • Apply payments and discounts in accordance with established procedures.
  • Maintain security of payments in accordance with established policies and procedures.
  • Utilize screening tool for self-pay patients to determine any possible payer source.
  • Refer patients to Financial Counselors in accordance with established policies and procedures.
  • Advise patients of, and generate Advanced Beneficiary Notice (ABN) and/or Assumption of Financial Responsibility (AFR) form as appropriate.
  • Obtain, scan, and index physician orders.
  • Cross-trained to staff all areas of Patient Access.
  • Maintain productivity and quality standards for all areas of responsibility.
  • Maintain open communication with physicians and their offices, patients, and ancillary areas in the facility.
  • Act as a resource for training of new team members and during implementation of new processes.
  • Complete annual on-going competency requirements.
  • Attend continuing education programs and complete mandatory training in order to maintain certification/licensure, department specific requirements and professional growth.
  • Follow System and departmental policies and procedures with special attention to attendance, punctuality, confidentiality, dress code, and display of ID badge and safety.
Requirements
  • Completion of high school or GED.
  • One year work experience with customer service.
  • One year hospital clerical or billing preferred.
  • Higher education and training can offset requested work experience.
About Cleveland Clinic

Cleveland Clinic is a world-renowned healthcare organization dedicated to providing exceptional patient care and advancing medical research and education. We are committed to creating a supportive and inclusive work environment that fosters growth and development for our caregivers.

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