Access Services Representative 2 - PRN

Job Summary

The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patients, verify insurance benefits, negotiate and collect patient financial responsibilities. They actively cross-train and work in all areas as assigned, serving as a mentor and trainer for peers.

Essential Functions Of The Role

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification, and billing.
• Understands patient flow processes in each area and identifies process improvement opportunities.
• Interacts on an ongoing basis with other areas and departments to provide information related to patient delays, schedule changes, intra-departmentally and interdepartmentally.
• Verifies patient eligibility for insurance coverage and appropriate benefit levels for anticipated services.
• Calculates and collects patient liability due according to financial clearance policies related to existing and/or bad debt accounts.
• Determines patient liability and advises patients of deposit requirements per policy.
• Negotiates payment arrangements with patients where necessary per policy.
• May assist patients to nursing units by providing directions, personal escort, and/or medical mobility assistance (e.g., wheelchairs).
• Escalates potential service issues to management when necessary.
• Adheres to compliance with regard to order validation, cash policy requirements, government payor requirements, and patient safety requirements for appropriate patient identification.
• Conducts formal, documented training and serves as a resource to others.
• Proactively accepts new responsibilities as identified by leadership.
• Performs revenue cycle duties at multiple areas/locations as assigned.

KEY SUCCESS FACTORS

• 2 years of healthcare or customer service experience or education equivalency required.
• Proven good listening, interpersonal, and communication skills, and professional, pleasant, and respectful telephone etiquette.
• Ability to maintain a professional demeanor in a highly stressful and emotional environment, including crime, behavioral health, and suffering patients, as well as life or death situations.
• Demonstrated ability to manage multiple, changing priorities in an effective and organized manner.
• Excellent data entry, numeric, typing, and computer navigation skills.
• Basic computer skills and proficiency in Microsoft Office.

Benefits

• Immediate eligibility for health and welfare benefits.
• 401(k) savings plan with dollar-for-dollar match up to 5%.
• Tuition reimbursement.
• PTO accrual beginning Day 1.

Note: Benefits may vary based upon position type and/or level.