PATIENT ACCESS REP | PRN

Job Qualifications

• Prior medical office and/or hospital admitting experience including billing preferred.
• Prior customer relations experience required.
• Prior computer, keyboarding and 10-key calculator experience required.
• Medical terminology knowledge preferred.

Essential Functions

• Greets and interviews incoming patients/ relatives to obtain accurate demographic and insurance information.
• Inputs patient demographic/ billing information into computer.
• Obtains patient or responsible party’s signature on consents.
• Creates face sheets, armbands, labels, and other documents as necessary.
• Communicates to patients the details of consents, filing of insurance, and payment of hospital services.
• Aids patients in understanding hospital billing and collection of payment.
• Collects and scans insurance cards or completed insurance forms from patients.
• Obtains necessary signatures on consent form for treatment according to hospital policies and procedures.
• Collects and deposits payment/co-payments from patients as appropriate or refers patient to Patient Accounting to make standard payment arrangements.
• Interprets Physician Orders to incorporate up to 9 Service Types and over 31 Service Locations while identifying qualifying requirements for each.
• Interprets Physician Orders to implement correct accommodation codes directly affecting patients charges and appropriate billing for services.
• Incorporates QAS Address Verification System into each registration to confirm address legitimacy with US Postal Service.
• Incorporates Waystar Insurance Eligibility Product to validate insurance coverage with each registration.
• Initiates, audits, and supports Medicare Secondary Payer Questionnaire for all Medicare registrations to ensure compliance and requirements of reimbursement.
• Provides 24/7 Answering Service support to Community Physicians.
• Performs next day audits on all registrations, including ancillary registration areas, to ensure accuracy in registrations, promote positive reimbursement results and reduce overall AR days.
• Distributes registration records each day to appropriate departments and Referring Physicians.
• Cross trains in at least two of the four areas of Patient Access (Outpatient Registration, ER, PBX, and/or Pre-Admissions).
• Contributes to required on-call obligations to help maintain 24/7 coverage in the Emergency room Patient Access area.
• Directs patients to appropriate ancillary departments. Coordinates with nursing supervisor and/or Nursing unit to arrange proper bed assignment and transports or arranges for transport of patient to nursing unit.
• Performs receptionist duties while answering telephones, paging overhead/radio, taking messages for doctors and nurses, and contacting physicians for patients or ER Physicians.
• Operates printer, scanner, credit card terminal and copy machine.
• Maintains confidentiality of all personnel and patient care and relations information.
• Participates in Strategic Quality Management for the department and organization.
• Participates in Customer/Guest Relations and Mandatory Educations programs.
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.