Patient Access Rep II - Patient Access Contact Center - Breast Center - Full-Time, Remote Eligible, Days

Our client operates within the healthcare sector, providing patient access services to facilitate admissions and outpatient treatment. They address challenges related to efficient patient registration, insurance verification, and financial clearance to ensure smooth access to medical care.

About the Opportunity

The Patient Access Rep II supports the admissions process by performing comprehensive registration activities. This role ensures accurate collection and verification of patient demographic and financial information, enabling timely patient access to medical services. It directly impacts patient experience and operational efficiency within the patient access areas.

Responsibilities

• Perform all registration activities for patients in various patient access areas, with cross-training in at least three access functions or areas.
• Obtain financial clearance and determine patient financial classification.
• Verify insurance coverage electronically, by phone, or through designated websites.
• Secure or assign medical record numbers following patient identification policies.
• Select appropriate physicians, manage privileging and suspension issues.
• Conduct patient interviews with sensitivity to patient populations.
• Handle routine inquiries from patients, representatives, and insurers, escalating issues when necessary.
• Collect patient payments and meet cash collection goals.
• Address quality assurance error worklists daily.
• Collaborate with physicians and specialty departments to ensure complete registration information.
• Explain registration and consent forms clearly and obtain signatures.
• Assemble and scan registration documents for patient charts.
• Navigate and enter patient and financial data into the ADT system.
• Maintain patient confidentiality in compliance with privacy regulations.

Qualifications

• Ability to perform multiple patient access functions.
• Proficiency in insurance verification methods.
• Familiarity with medical record number assignment and patient identification policies.
• Strong interpersonal and patient interviewing skills.
• Competency in handling financial transactions and collections.
• Knowledge of healthcare privacy regulations such as HIPAA.