Patient Access Rep III - Pre-Registration - Full-Time, On-Site, Days

About Our Client

This organization operates as a large nonprofit academic medical center providing high-quality healthcare, including primary care, specialized medicine, research, and community service. Serving a diverse region, it addresses healthcare challenges by setting standards in patient care, advancing treatment approaches, and educating health professionals. With extensive licensed beds, physicians, nurses, and staff, it plays a significant role in improving health outcomes at scale.

About the Opportunity

The Patient Access Rep III - Pre-Registration is a senior-level role responsible for managing patient admissions processes, including pre-admit and face-to-face registration. This position ensures accurate collection of demographic and financial information, facilitates patient access to services, and supports the organization's operational needs by maintaining smooth registration workflows. The role impacts patient experience and financial clearance, contributing to effective healthcare delivery.

Responsibilities

• Perform all admission activities for pre-admit and face-to-face patient registration across various registration areas.
• Obtain financial clearance and determine correct patient financial classification through insurance verification.
• Conduct system searches to secure or assign unique medical record numbers.
• Select appropriate physicians for patients and resolve privileging issues.
• Conduct patient interviews with sensitivity to diverse populations.
• Handle routine inquiries from patients, representatives, and insurance companies, escalating as needed.
• Collect patient financial obligations and meet cash collection targets.
• Coordinate with physicians and specialty departments to ensure accurate information intake.
• Compile reports as requested using available resources.
• Manage RQI worklists daily and assist colleagues as required.
• Demonstrate competence in all registration areas and assist throughout the department.
• Maintain productivity by completing at least 30 registrations and handling no fewer than 10 inquiries per shift.
• Adhere to state, federal, regulatory, and organizational policies related to admissions.

Requirements

• Advanced proficiency in department duties with the ability to support any admissions area with minimal training.
• Strong patient interviewing and customer service skills.
• Ability to perform electronic and telephonic insurance verification.
• Knowledge of billing, financial clearance, and patient financial responsibilities.
• Competence in managing physician privileging and suspension issues.
• Ability to manage inquiries from patients, physicians, and internal staff effectively.