Patient Access Representative (EFM Guyton) Full-Time

Job Summary

Under the general direction of the Practice Manager and the Business Services Manager, the Patient Access Representative will provide assistance to non-emergent patients as well as perform the registration for patients presenting for services, maintain documentation, verify insurance, accept payments, in accordance with The Joint Commission, federal, state, and local guidelines, organizational and departmental policies and procedures. Communication with medical staff, other departments, and outside agencies while maintaining confidentiality is required.

STANDARDS OF PERFORMANCE

• Performs registration for all patients presenting for service.
• OBTAINS, INPUTS, AND TRANSCRIBES ACCURATE PATIENT DATA.
• Completes necessary forms including proper documentation/signatures, insurance information, either on paper or on scanner.
• Enters data into the computer with minimal errors.
• Performs as a cashier for payments and maintains cash receipts with accuracy.
• METTS NON-EMERGENT PATIENTS TO DISCUSS TREATMENT OPTIONS AND FINANCIAL OPTIONS.
• ASSESSES INSURANCE STATUS. VERIFIES INSURANCE BENEFITS. CALCULATES AND COLLECTS APPROPRIATE DEDUCTIBLES AND/OR CO-INSURANCE FROM PATIENTS ON SERVICES RENDERED OR TO BE RENDERED.
• EXPLAINS HELPING HANDS PROGRAM OPTION, IF APPLICABLE.
• SETS UP FINANCIAL AGREEMENT ACCORDING TO HOSPITAL GUIDELINES FOR ANY BALANCE DUE.
• SCANS OF ALL RECORDS INTO ELECTRONIC MEDICAL RECORDS.
• PRESENTS ADVANCE DIRECTIVES INFORMATION TO ALL PATIENTS AS PER HOSPITAL POLICY/PROCEDURE.
• ACTIONS AS AN AMBASSADOR FOR THE FACILITY BY INTERACTING WITH CLIENTS, FAMILY MEMBERS, AND STAFF IN A FRIENDLY CARRIING MANNER.

Requirements

• Minimum Level of Education: Education level equivalent to completion of High School is required. Completion of a Patient Access or Financial Services-specific to Healthcare curriculum or equivalent is highly preferred.
• Formal Training: None Required.
• Licensure, Certification, Registration: None Required.
• Will be required to attain Hometown Health Certification in Financial Counseling by the 90-day review.
• Working knowledge of health insurance, deductibles, co-pays, and co-insurance required.
• Minimum of twenty-four months (2 years) experience in customer service, patient registration, and collections preferred.
• The job requires a comfort level without of pocket collections activities, as well as a thorough understanding of the accuracy needed for the capture of demographic and third-party payer information.