Patient Access Representative

3 weeks ago

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

Campbell County Health is a comprehensive healthcare provider in Wyoming, certified as an Area Trauma Hospital. Our organization includes Campbell County Memorial Hospital, Campbell County Medical Group, The Legacy Living & Rehabilitation Center, and the Powder River Surgery Center.

Job Summary

We are seeking a skilled Patient Access Representative to join our team. This role is responsible for performing detailed and accurate registration of all patients, displaying a broad understanding of third-party reimbursement issues, and assisting ancillary departments with room assignment and patient transport.

Key Responsibilities
  • Greet and interview incoming patients/relatives to obtain accurate demographic and insurance information.
  • Input patient demographic/billing information into the computer and obtain patient or responsible party's signature on consents.
  • Communicate to patients the details of consents, filing of insurance, and payment of hospital services.
  • Collect and scan insurance cards or completed insurance forms from patients and obtain necessary signatures on consent form for treatment.
  • 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.
  • Provide and incorporate accurate patient status changes directly related to ensuring patient activity/services reflect all Physician/Provider Order Entries.
  • 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 and 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, performing all functioning duties there during coverage times and daily after 8:30pm.
  • 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.
  • Comply with the hospital's Corporate Compliance Program, including the Code of Conduct, laws and regulations, and hospital policies and procedures.
Requirements
  • High School graduate or GED equivalent.
  • Prior medical office and/or hospital admitting experience, including billing, preferred.
  • Prior customer relations experience required.
  • Prior computer, keyboarding, and 10-key calculator experience required.
  • Medical terminology knowledge preferred.

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