Patient Access Rep-Patient Access Services-SMC (3p-11:30P)

About the Role

The Patient Access Representative ensures a positive initial patient experience by performing critical functions related to patient registration, clinical treatment, billing, reimbursement, and patient satisfaction.

Requirements

Minimum Requirements

• High School diploma or equivalency
• One-year experience in healthcare access, customer service, and/or financial setting

Preferred Requirements

• Associates degree
• Three years of experience in healthcare access, customer service, and/or financial setting

Responsibilities

• Accurately complete patient registration in the HIS system, maintaining demographic and financial information integrity for clinical and billing functions
• Manage work processes to meet organizational and departmental expectations
• Verify and review insurance benefits and financial clearance for all payors at each encounter
• Collaborate with the Centralized Referral Center to ensure prior authorizations are obtained
• Research and resolve registration discrepancies related to demographic, clinical, and insurance accuracy
• Adhere to state and federal regulations and system policies regarding compliance, integrity, and ethical registration practices
• Complete patient estimate letters, attempt cash collection when applicable, and process patient payments for account posting
• Practice AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) in all customer/patient interactions
• Review and ensure medical orders comply with government and hospital guidelines and clinical protocols
• Complete clinical screening for specified modalities to ensure patient safety
• Utilize computer systems efficiently to facilitate workflow processes
• Obtain insurance eligibility and benefit information from payors via phone, RTE, or web to provide patients with estimated financial responsibility
• Maintain an accurate cash drawer, including reconciliation and deposit functions
• Perform other duties as assigned by department supervisor or manager