Patient Access Rep-MGC Cardiology

Core Job Responsibilities

• Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter
• Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
• Verification and review of insurance benefits and financial clearance for all payors at each encounter
• Works in conjunction with the Centralized Referral Center to ensure prior authorizations have been obtained
• Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
• Understands and adheres to state and federal regulations and system policies regarding compliance, integrity, and ethical registration practices
• Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting
• Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols
• Completes clinical screening for specified modalities to ensure patient safety
• Performs other duties assigned by department supervisor or manager
• Absorbs and provides insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered
• Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
• Ensures proper utilization of computer systems to facilitate efficient and effective workflow processes
• Must possess excellent oral and written communication skills
• Must possess a positive attitude and work well as part of a team as well as independently
• Maintains confidentiality and handles sensitive information
• Performs other duties as assigned