Access Services Representative - PRN (Plano Heart)

Job Summary

The Access Services Representative 1 obtains current and accurate demographics and insurance information in order to register patients, verify insurance benefits, and negotiate and collect patient financial responsibilities.

Essential Functions of the Role

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification, and billing.
• Registers patients at multiple locations and works in various areas within the department.
• Identifies process improvement opportunities that promote teamwork and improve revenue cycle functions and the patient experience.
• Interacts 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 dues according to financial clearance policies related to existing and bad debt accounts.
• Determines patient liability and advises patients of deposit requirements per policy.
• Negotiates payment arrangements with patients where necessary per policy.
• May be responsible for performing cashiering responsibilities according to established policies and procedures.
• Affords assistance to patients on nursing units by providing directions, personal escort, and medical mobility assistance (e.g., wheelchairs), when applicable.
• Adheres to compliance with regard to order validations, cash policies, government payor requirements, and patient safety requirements for appropriate patient identification.
• Escalates potential service issues to management when necessary.

KEY SUCCESS FACTORS

• 1 year of healthcare or customer service experience preferred.
• 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.
• High level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
• 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 Microsoft Office proficiency.

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.

Qualifications

• H.S. Diploma/GED Equivalent.