Patient Access Representative

PURPOSE OF THE JOB

To ensure all demographic and financial information is accurately collected, verified, and recorded in the Electronic Health Record Patient Accounting System.

Functions

• Patient registration
• Registration
• Emergency Room registration
• Insurance eligibility verification
• Authorization requirements
• Patient liability
• Collection
• Scheduling
• Admitting duties

Qualifications

• High School diploma or GED required
• Proficient in data entry
• Familiar with health information software
• Prior registration/admissions experience preferred
• Knowledge of insurance verification and eligibility preferred
• Knowledge of third-party coverage rules
• Correctly bills for each encounter (e.g., Medicare, Medicaid, Worker's Compensation, Auto Liability, etc.)
• Prior billing experience preferred
• Excellent customer service skills required
• Yup'ik speaking preferred

Essential Functions

• Collections, verifies, and records all required patient information accurately in the EHR, including insurance policy information, while maintaining the departmental accuracy standard of 97%
• Identifies patients using patient's full name, date of birth and/or medical identification (ID) number for every patient encounter
• Distributes and collects all department related hospital, state, and federally mandated consents, notifications, and financial forms
• Explains insurance coverage and authorization requirements to patients prior to medical services