Patient Access Representative

About the role

This position is responsible for performing all registration, scheduling, order entry, and reception functions within the health system. This role also involves floating to various admitting sites.

Responsibilities

• Accurately gather demographic, sponsorship, or guardian data, insurance, clinical, financial, and statistical information from various sources.
• Ensure reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frames, identifying and collecting patient financial obligations, and accurate charge order entry.
• Serve patients and their families in a manner that makes the admission process comfortable and pleasant.
• Avoid accounts receivables by following established guidelines, regulations, policies, and procedures during the registration process.
• Collect accident information, identify all insurance payer sources, determine payer order sequence, verify insurance eligibility, obtain insurance notification, charge order entry processing, determine estimated costs for services being rendered, identify and collect patient financial obligation amounts, and document all information collected timely and in accordance with department requirements.
• Explore the financial need of the patient and refer customers to appropriate federal, state, or county assistance agencies when necessary.
• Schedule, order entry, and reception functions, assist in completing departmental tasks, and solve problems following established company guidelines.
• Handle problems that can negatively impact the company, time off requests, sick time, work schedules, interoffice problems, etc., by referring them to a supervisor.
• Adopt a philosophy consistent with Renown Health Values and model these values.
• Communicate diplomatically and effectively during stressful situations, anticipate customer needs, deal with the unexpected, establish priorities, and adjust performance style when necessary.
• Ensure all matters related to patient information are kept secure, meeting confidentiality compliance standards set by The Joint Commission and HIPAA.
• Identify the patient's financial obligation, i.e., deductible, co-payment, co-insurance, etc., and follow standard operating procedures regarding point-of-service collections.
• Perform order entry and possess above-average computer application skills.
• Follow verbal and written instructions and have scheduling skills adaptable to a fast-paced environment with heavy physician/physician office staff interaction.
• Be flexible and adapt to different Admitting department locations, prioritizing and multitasking in a fast-paced environment.
• The position does not provide patient care.

Requirements

• High School Diploma or GED preferred.
• Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. One year preferred.
• Experience with Windows Operating systems, SMS InVision, Internet, and SMS IMS Document Imaging is preferred.
• Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.