Patient Access Rep I

ROLE SUMMARY

The Patient Access Representative I will have continual and direct patient contact and perform diversified tasks and duties associated with outpatient and inpatient registration, admissions, cashiering and communications. This position discusses financial responsibility with patients, maintains accurate patient account information, verifies insurance, and acts as a patient ambassador.

CORE RESPONSIBILITIES

• Registers patients and/or responsible party in a timely and efficient manner using multiple methods of communications.
• Obtains required admission information such as patient insurance/financial information, demographics and ensures an accurate medical record is created.
• Promotes accurate billing information and dissuades fraudulent use of insurance.
• Obtains necessary signatures for consent for services and mandatory Medicare and Tricare documents. Communicates with third parties to coordinate authorized hospital services.
• Executes the pre-registration and pre-authorization process by obtaining necessary documentation from the patient, patient’s physician, and insurance company.
• Assists walk-in patients that are not scheduled if patient has a physical order or it is already displayed in EPIC and test does not require a future appointment. Enters order, and schedules patient to have test done.
• Reviews price estimates and collects appropriate monies due or arranges for payment plans with each patient. Reviews and discusses all patient financial responsibility at the appropriate time in the admission process.
• Maintains patient records regarding all non-clinical patient information. Coordinates with all departments for patient services and information.
• Processes correspondence and return mail.
• Directs and escorts patients and visitors to appropriate departments.
• Scans items in a timely and efficient manner.
• Ensures that patient name, encounter number and medical record number are documented on each page of the medical record 100% of the time.
• Performs qualitative and quantitative analysis.

DEPARTMENT SPECIFIC RESPONSIBILITIES:

BEHAVIORAL HEALTH: Coordinates care/scheduling for offsite care as well as communicating with patients to schedule ECT treatment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

• Excellent written, verbal, and interpersonal communication skills
• Proficient reading, writing, and math skills
• Ability to multi-task and work well within stressful environment
• Strong problem-solving skills
• Ability to read and comprehend reports, studies, and government regulations and guidelines

MINIMUM REQUIREMENTS

• High school diploma (or equivalent certificate from an accredited program) or higher
• 3 Months: (Behavioral Health Department Only) Crisis Intervention (CPI) training within 3 months of start date

PREFERRED QUALIFICATIONS

• Customer Service Experience
• Telephone communication, 10-key and computer experience
• Patient Access experience