Patient Access Rep-Beh Hlth

About the role

This position is responsible for performing all registration, scheduling, order entry, and reception functions within the health system. This role also involves floating to various admitting sites.

Responsibilities

• Expedites and provides healthcare access through the accurate gathering of demographic, sponsorship, or guardian data, insurance, clinical, financial, and statistical information from a variety of sources.
• Ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identifying and collecting patient financial obligation, and accurate charge order entry.
• Serves the patient and family in a manner that makes the admission process as comfortable and pleasant as possible.
• Takes an active role in decreasing accounts receivables by following established guidelines, regulations, policies, and procedures during the registration process.
• Accurately obtains and enters demographic, clinical, and financial information into the computer system.
• Explains and obtains signatures on admission, clinical, and financial forms.
• Collects accident information.
• Identifies all insurance payer sources.
• Identifies payer order sequence.
• Verifies insurance eligibility.
• Obtains insurance notification.
• Charge order entry processing.
• Determines estimated cost for services being rendered.
• Identifies and collects patient financial obligation amounts, such as co-payments, co-insurance, deductibles, etc.
• Documents all information collected timely and in accordance with department requirements.
• Explores the financial need of the patient and when appropriate refers the customer to the appropriate federal, state, or county assistance agencies.
• Schedules, order entry, and reception functions and assists in completing departmental tasks.
• Solves problems following established company guidelines.
• Deals with the unexpected, establishes priorities, investigates and adjusts performance style when necessary.
• Ensures all matters related to patient information are kept secure, meeting confidentiality compliance standards set by The Joint Commission and HIPAA.
• Identifies the patient's financial obligation, such as deductible, co-payment, co-insurance, etc., and follows standard operating procedures regarding point of service collections.
• Performs order entry.
• Has above-average computer application skills.
• Follows verbal and written instructions.
• Adapts scheduling skills to a fast-paced environment with heavy physician/physician office staff interaction.
• Prioritizes/multitasks in a fast-paced environment.

Requirements

• Must have working-level knowledge of the English language, including reading, writing, and speaking English.
• Preferred two years experience in an outpatient medical facility or management experience in a health care field.
• Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word.
• Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.