Patient Access Representative
1 week ago
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 SummaryWe 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, obtain patient or responsible party's signature on consents, and 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, and 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, and 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, and 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, and incorporate QAS Address Verification System into each registration to confirm address legitimacy with US Postal Service.
- Initiate, audit, and support Medicare Secondary Payer Questionnaire for all Medicare registrations to ensure compliance and requirements of reimbursement, and 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, and 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), and 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, and 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, and 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, and 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.
- High School graduate or GED equivalent.
- None.
- See Cardiopulmonary Resuscitation Certification Policy and Certifications/Education Requirements Policy.
- 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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Patient Access Representative
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Gillette, Wyoming, United States Campbell County Health Full timeAbout Campbell County HealthCampbell 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 SummaryWe are seeking a skilled Patient...
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