Patient Access Representative

6 days ago


El Dorado Hills, California, United States Ovation Healthcare Full time

**This is an on-site role in El Dorado, AR.***

Welcome to Ovation Healthcare

At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit

Summary:

This will be an on-site role in El Dorado, AR. This role will report to the Patient Access Manager and be responsible for patient access pre-registration, insurance verification, financial clearance and medical necessity screening.

Duties and Responsibilities:

  • Enters complete and accurate patient information in the Meditech computer system using the scheduling module to verify arrival dates and times, procedures, phone numbers and prep instructions. Selects correct patient from Master Patient index to ensure patient identification safety and places correct armband on all patients. Informs patient to bring insurance card and photo ID on the date of service.

  • Verifies insurance and communicates needed information to the registration staff. Consistently interviews patients to obtain and enter accurate demographics and insurance information in a timely manner.

  • Returns calls and checks patient voice mail box promptly.

  • Consistently calls patients to pre-register in accordance with departmental standard work.

  • Obtains complete and accurate information to complete the Medicare secondary payer form.

  • Consistently uses insurance verification solution, reads verification response for insurance coverage, assigns correct insurance plan and posts back notes in the Meditech system

  • Consistently follows point of service collection policies and procedures. Follows cash management guidelines at all times.

  • Demonstrates willingness to assist and support co-workers. Willingly modifies schedule or daily routine to accommodate patient or departmental needs. Completes assignments before leaving and is willing to stay over when workload dictates.

  • Consistently reviews and obtains patient signatures on all required registration forms

  • Consistently corrects registrations during assigned shift using PA solution and maintains an average accuracy rate of 95% for a 12 month period.

  • Other duties as directed.

Work Experience, Education, and Certifications:

  • High school diploma or equivalent required.

  • 2-4 years of experience working in a clinic/hospital setting.

  • Experience with EMR (Meditech MAGIC preferred), fax, copier, time and attendance system, patient access software, cash management/posting, FormsFast, Label and armband printers, hand-held communication equipment and email.

Knowledge, Skills, and Abilities:

  • Knowledge and understanding of HIPAA rules and regulations.

  • Regular and timely attendance.

  • Demonstrates the ability to navigate payer websites and portals

  • Ability to function in a high intensity, fast paced environment and can adapt to change in the work environment

  • Exhibits effective and independent, decision-making skills and the ability to follow oral and written instruction or direction

  • Professional communication skills both orally and written

  • Self-starter with the ability to identify, understand, research and solve unique and complicated issues

  • Excellent customer service


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