Patient Access Rep ER Registration

Position Responsibilities

Performs all elements of the patient intake process with proven accuracy by performing Master Patient Index inquiries using established identifiers to ensure non-duplication of medical records numbers.

Demographic information is collected/updated in the system including emergency contact, telephone numbers, and financial information accurately. Completes record before the end of daily shift.

Benefits are to be identified, verified by computer or telephone, coordinated and entered in the system while fulfilling Medicare requirements and completing the Medicare Secondary Payer Questionnaire accurately.

Determines and informs patient/guarantor of financial responsibility and collects at point of service, issuing receipts as appropriate to include outstanding balances.

Accurately scans the patient ID, insurance cards, eligibility responses, payments, receipts, authorizations, notifications, referrals, and signatures to the patient’s account.

Maintains proficiency in the use of all systems and communication devices essential to the efficient, effective performance of Patient Access functions.

Supports the department goals for point-of-service collections by identifying the patient responsibility, communicating to the patient or responsible party at registration their financial responsibility to include collecting co-payments in the ER.

Essential Functions

Knowledgeable of Current Procedure Terminology Codes (CPT), ICD-10 Codes, and medical terminology.

Knowledgeable of health insurance, benefit eligibility, and HIPAA (Health Insurance Portability and Accountability Act).

Knowledgeable of EMTALA (Emergency Medical Treatment and Labor Act) and adheres to the set guidelines to ensure compliance.

Reviews charts for accuracy and completes charts before the end of daily shift.

Knowledgeable of procedures governing the arrival of Joint Commission and other groups.

Responsible for updating all inpatient and observation accounts based on physician orders within 30 minutes of receiving updated physician orders.

Responds to emails before the next business day.

Performs general clerical office duties as required in the Patient Access Office, including but not limited to filing, faxing, scanning and copying documents.

Actively assist and engage in other areas of the department as needed in order to achieve departmental goals.

Meets assigned departmental quality assurance, point of service collections, insurance verification, registration time and monthly percentage goals.

Demonstrate superior prioritization, organizational, and time management skills.

QA must be completed and all corrections made within two days of batch date.

Can perform all Code/Alarm procedures.

Provides excellent customer service to all patients, family members, and coworkers.

Maintain excellent and open verbal communication with clinical staff members.

Responsible for making sure that Supervisor has most up to date contact information.

Experience

Previous office experience in a hospital or medical office, patient access or financial services preferred.

Education

High school diploma or equivalent required.

Special Qualifications

Ability to work independently.

Ability to interact well with the public, i.e. children, adolescents, adults and geriatric.

Ability to work in a fast-paced, high-stress environment.

Certified Patient Accounts Representative (CPAR) or Certified Healthcare Access Associate (CHAA) preferred.