Patient Access Representative
2 days ago
We are seeking a highly skilled Patient Access Representative to join our team at Vidant Health. As a Patient Access Representative, you will be responsible for creating a positive first impression of our organization's services to patients and families, as well as other external customers.
Key Responsibilities- Interact with physicians and/or physicians' office staff to secure diagnosis, procedure details, or authorization information as needed.
- Receive scheduling requests for procedures utilizing Cadence to schedule based on physician orders.
- Obtain diagnosis and procedure information from patients, clinical departments, or physician offices to perform ABN/Medical Necessity screening, as required.
- Interview patients face-to-face or by phone to obtain scheduling and/or registration information.
- Handle incoming calls and exercise judgment in scheduling callers for the correct procedure in the appropriate service area; receive telephone requests to schedule from patients, physicians, physicians' office staff, etc.
- Collect complete and accurate demographic, financial, and clinical information to properly enter into the electronic health record to complete a hospital registration.
- Provide timely and thorough information to all other providers and customers that utilize patient data.
- Review registration accounts for accuracy to ensure the hospital is properly reimbursed.
- Obtain signatures on consent forms, HIPAA, Observation Notice, Important Message from Medicare, and other important forms as required within the hospital's policies.
- Explain financial obligations, negotiate deposits and payment arrangements with patients and/or guarantors, and attempt to collect patient copayments or other uninsured balances on accounts.
- Verify insurance benefits using the electronic insurance eligibility application (Passport), internet application, or telephone calls to insurance carriers; obtain authorizations and pre-certification for applicable visits.
- Ensure that all required documents, including consent forms, precertification documents, benefits information, and insurance card copies, are scanned into the correct patient EHR.
- Cross-trained to perform other functions within the division as assigned.
- Other duties as assigned.
- High School or Equivalent (GED) or higher is required.
- Associate Degree: preferred.
- Bachelor's Degree: preferred.
- 2 years of Customer Service is required.
- 1 to 2 years of Registration and/or Billing experience within a healthcare setting is preferred.
- Excellent communication (both written and oral), detail orientation, organization, and multitasking skills are required.
- Basic computer skills.
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Patient Access Representative
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