Patient Access Rep ED Mid Shift 300pm-1130pm with Rotating weekends
About the Role
This position greets patients and guests in a courteous manner whether via telephone contact or in person. You will initiate scheduling appointments or completing the check-in process/admission for patients, obtain and verify accurate identification and demographical data for the patient’s permanent medical record, and assist in accurate reimbursement while maintaining the confidentiality of all patient information. The role involves point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process, and verification of insurance via electronic verification, telephone, or web application. You will improve patient satisfaction through professional representation of the company and be cross-trained to support multiple functions across all patient and payer types.
Responsibilities
- Provide excellent customer service to all patients, guests, and family members.
- Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
- Ensure all required forms are completed and other paperwork/documents are gathered and accurate.
- Efficiently and accurately gather and input patient/guarantor demographic and financial information.
- Explain insurance benefits and collect co-pays, deductibles, and self-pay portions due.
- Perform financial analysis of each case and inform patient of financial responsibility.
- Balance cash drawer daily, prepare deposit slips, and follow closing cash drawer process at the end of each shift.
- Demonstrate respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve interpersonal conflicts.
- Adapt behavior to the specific patient population, including respect for privacy, method of introduction, adapting explanations, requesting permissions, and communication style.
- Remain knowledgeable on current federal, state, and local laws, accreditation standards, or regulatory agency requirements that apply to the assigned area of responsibility and ensure compliance.
- Other related duties as required.
Requirements
- High school diploma or equivalent (required).
- Associate’s Degree (preferred).
- Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment. Experience may include front-line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction.
Qualifications
- Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), or Certification as a Medical Assistant (or other medical specialty-based certification) (preferred).
- Computer skills and dexterity required for data entry and retrieval of information.
- Effective verbal and written communication skills and the ability to present information clearly and professionally.
- Proficiency with Windows-style applications, various software packages specific to the role, and keyboard.
- Strong interpersonal skills.
- Clerical skills and technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes, and current knowledge of Federal, State, and Local billing regulations.
- Ability to effectively present information and respond to questions from patients and customers.
- Skills to solve practical problems and deal with high-stress situations while maintaining professionalism.
- Good organizational, time management, and conflict resolution skills.
- Excellent decision-making skills; strong analytical skills with attention to detail.
- Ability to work collaboratively with other departments.
- Ability to exercise sound judgment in handling/escalating difficult situations.
Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods.
- Normal routine involves no exposure to blood, body fluid, or tissue, and incumbents are not called upon to perform or assist in emergency care or first aid.
- The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms.
- Occupational risk for exposure to all communicable diseases.
- Potential occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning, and/or disposal of contaminated waste.