Patient Access Rep I

4 weeks ago

Houston Texas, United States CommonSpirit Health Full time
Overview:
Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Responsibilities:
POSITION SUMMARY

Performs patient access, registration, admitting and financial counseling activities, which may include: patient pre-registration and registration, admittance, patient financial counseling, researching and evaluating federal, state and commercial insurance funding issues and screening patients for alternative government funding.

POSITION RESPONSIBILITIES

1. Assembles all data and documents required for complete patient registration, including, pre-admission, admission, pre-registration and registration Functions; completes all insurance verifications and authorizations

2. Enters all patient demographic information; uses other department applications for eligibility and authorization

3. Assesses patient financial responsibility and collects co-pays and deductibles at time of admission

4. Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered

5. Obtains and documents funding information from patients and Provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned

6. Uses payer resources and website to explore and assess eligibility; Initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

7. Works in collaboration with all areas of the revenue cycle to identify and resolve issues and or barriers

8. Enters a variety of fiscally related information into databases; Maintains fiscal records and files

9. Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems

Qualifications:
Education Required:

High School Diploma/GED

 

Knowledge, Skills, and Abilities

*Excellent customer service skills
*Excellent Written/verbal communication skills
*Basic Math skills
*Computer literate
*Detail oriented

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