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Patient Access Representative
2 months ago
Job Summary
This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Department, Inpatient, Obstetrics, Outpatient, etc.
Key Responsibilities
1. Verify patient demographics and accurately input this information into the Electronic Health Record (EHR), including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from payors.
2. Proficiency with multiple services including, but not limited to, inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.
3. Demonstrate a thorough understanding of insurance guidelines for all services. Proficiently verify, read, and understand insurance benefits.
4. Demonstrate proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrate a positive patient experience through interactions and effective communication.
5. Proficient understanding of payer authorization guidelines. Accurately submit timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meet all registration-related key performance indicators as determined by management.
6. Obtain federal/state compliance information, consents, and documentation required by the patient's insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Use multiple computer applications proficiently.
7. Consistently discuss financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans, and/or assisting patient with Banner Financial Assistance policy/application.
8. Provide a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Access Services team.
Requirements
High school diploma/GED is required.
Must have customer service skills or knowledge of patient financial services, financial, collecting services, or insurance industry experience processes normally acquired over one or more years of work experience.
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work both independently and collaboratively in a team environment. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, database software, and typing ability are required.
Preferred Qualifications
Associate's degree in Business Management is preferred.
CHAA certification is preferred.
Previous patient access and/or cash collections experience is preferred. Work experience with the Company's systems and processes is preferred.
Additional related education and/or experience preferred.
