Patient Access Representative- Hospital Registration Details

Patient Access Representative- Hospital Registration

Lakeland Regional Health - Lakeland, FL

Employment Type : Full-Time

Position Information
Work Type: Active - Benefit Eligible and Accrues Time Off
Exempt: No Work Schedule: Saturday & Sunday
Work Hours per Biweekly Pay Period: 48 Shift Time: 7:00 am to 7:30 pm
Location: Medical Center, US: FL: Lakeland in ER
Position Summary
Summary:
This position is responsible for the timely and accurate Preregistration/Registration of patients for Outpatient, Inpatient or Emergency services. Gathers all required information during registration, utilizing knowledge of medical insurance to include Managed Care, Medicare, Medicaid, commercial, liability, worker's compensation and other insurances not listed here. Secure precertification and/or authorization when applicable. Maintain patient confidentiality in accordance with the rules and regulations regarding HIPAA. Collect patient/guarantor uninsured amounts as needed. Must be able to interview patients and articulate information in a clear and informative manner to patients, guarantors, family members, clinical staff, physicians and other hospital personnel.
Position Details
Detailed responsibilities:

• Standard Work Duties: Patient Access Representative
• Responsible for performing all registration functions for your assigned area. Using provided tools, employee will be able to accurately complete a Pre-registration, Quick Registration, Complete Registration and Insurance Verification. If applicable, verify accurate MD order, admission status and ensure appropriate documentation is scanned into patient’s account. Team members will be required to maintain minimal errors as determined by the Patient Registration Quality Assurance team.
• Successfully obtain all patient demographic information in an effort to submit accurate claim filing. Demographic information includes correct address, contact information, guarantor, and emergency contacts. This information will be entered in the correct format and sequence in the Cerner registration modules.
• Become proficient in the online insurance verification tools and correct any insurance errors before the end of your shift on a daily basis.
• Actively participating in personal and team development, accomplishing departmental goals, objectives and dashboards, maintaining a positive attitude while minimizing negative behaviors and practicing the Always Behaviors.
• Assist as needed in the orientation and training of new and tenured patient access staff and serve as a resource to others under the supervision of the Patient Financial Services supervisor.
• Accept delegated responsibilities on assigned shift
  

Qualifications & Experience
Education:
Essential:

• High School or Equivalent

Nonessential:

• Associate Degree

Education equivalent experience:
Nonessential:

• Business or Healthcare Finance

Other information:
Experience Essential:

• 2-3 years of experience in a customer service job role.
• Knowledge and interpretation of basic medical terminology.
• Health insurance experience is required.

Experience Preferred:

• Two plus years of experience in a hospital patient admission/registration or physician office patient registration setting with working knowledge of managed care, third party liability, CMS rules and regulations regarding hospital benefits.
• Cash Collection experience.

Certifications Preferred:

• CHAA, CRCP or Medical Terminology