Patient Access Rep - Full-Time - Physician Practice - Slidell/Metairie

Essential Duties And Responsibilities

• Registration and Verification
• Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person.
• Answers calls in a timely manner; identifies department and self when answering the telephone.
• Able to handle all codes and stat calls proficiently.
• Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order.
• Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), and Medicare Secondary Payer (MSP) questionnaire).
• Obtains required signatures as needed.
• As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire.
• Ability to verify insurance coverage and understand benefit requirements and ensures that all notification/authorizations are completed based on plan requirements.
• Works with physician offices to obtain necessary authorization on scheduled procedures.
• Ability to explain insurance benefits to patient.
• Informs patients of estimated balance due based on plan benefits and collects monies due at time of service.
• Demonstrates knowledge of all features and functions of the Patient Accounting areas.
• Notifies appropriate staff regarding any issues or concerns in a timely manner.
• Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.
• Communicates with management/physician offices regarding any problematic insurance concerns that may affect the payment of services.

Other Duties

• Functions as back up to concierge.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Core Competencies

• Action Orientation
• Communications
• Creativity/Innovation
• Critical Judgment
• Customer Orientation
• Interpersonal Skills
• Leadership
• Teamwork

Professional Requirements

• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings or reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.

Regulatory Requirements

• One (1) or more years’ of medical office experience.
• Travel may be required.

Physical 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.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day.
• The employee must frequently lift or move items weighing up to 20 pounds.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.