Patient Access Rep-PRN(varied hours and days)

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.

Responsibilities

• Accurately complete quality registrations in the HIS system to maintain demographic and financial information integrity for every patient encounter.
• Manage work processes and time 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.
• Generate accurate 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 as well as clinical protocols.
• Complete clinical screenings 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.

Requirements

Minimum Requirements

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

Preferred Requirements

• Associate’s degree.
• Three years of experience in healthcare access, customer service, and/or a financial setting.